LATATIANNA DORAJEAN MABRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265592

License Status

NOT RENEWED

Business

First Name

LATATIANNA

Middle

DORAJEAN

Last Name

MABRY

Business Name

LATATIANNA DORAJEAN MABRY

Original Issue Date

05/28/2019

Effective Date

05/28/2019

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

01/08/2021