LATASHA MONIQUE HUMPHREY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265284

License Status

INACTIVE

Business

First Name

LATASHA

Middle

MONIQUE

Last Name

HUMPHREY

Business Name

LATASHA MONIQUE HUMPHREY

Original Issue Date

05/13/2019

Effective Date

01/24/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60651

Ever Disciplined

LastModifiedDate

01/10/2021