LATASHA R POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049301782

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

Last Name

POLK

Business Name

LATASHA R POLK

Original Issue Date

04/24/2023

Effective Date

04/24/2023

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025