KENNETTA SHAVONNE LATAY HOLDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049301905

License Status

NOT RENEWED

Business

First Name

KENNETTA

Middle

SHAVONNE LATAY

Last Name

HOLDEN

Business Name

KENNETTA SHAVONNE LATAY HOLDEN

Original Issue Date

04/27/2023

Effective Date

04/27/2023

Expiration Date

03/31/2024

City

WATERMAN

State

Zip

60556

County

DEKALB

Ever Disciplined

LastModifiedDate

01/03/2025