LATNASHA P TRAYWICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152952

License Status

NOT RENEWED

Business

First Name

LATNASHA

Middle

Last Name

TRAYWICK

Business Name

LATNASHA P TRAYWICK

Original Issue Date

01/21/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

HAMMOND

State

Zip

46320

Ever Disciplined

LastModifiedDate

05/14/2007