LATISA M ROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273198

License Status

NOT RENEWED

Business

First Name

LATISA

Middle

Last Name

ROSS

Business Name

LATISA M ROSS

Original Issue Date

05/12/2020

Effective Date

03/10/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022