LATHAN ROBERT REYNOLDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281905

License Status

NOT RENEWED

Business

First Name

LATHAN

Middle

ROBERT

Last Name

REYNOLDS

Business Name

LATHAN ROBERT REYNOLDS

Original Issue Date

05/03/2021

Effective Date

05/03/2021

Expiration Date

05/31/2022

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/27/2022