MAIA LATIES PENROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297296

License Status

NOT RENEWED

Business

First Name

MAIA

Middle

LATIES

Last Name

PENROSE

Business Name

MAIA LATIES PENROSE

Original Issue Date

11/02/2022

Effective Date

11/02/2022

Expiration Date

03/31/2023

City

POSEN

State

Zip

60469

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023