LATASHA NICOLE HEAVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276771

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

NICOLE

Last Name

HEAVENS

Business Name

LATASHA NICOLE HEAVENS

Original Issue Date

10/19/2020

Effective Date

10/19/2020

Expiration Date

03/31/2021

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/20/2021