TRACY SUE LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161159

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

SUE

Last Name

LATHAM

Business Name

TRACY SUE LATHAM

Original Issue Date

05/19/2005

Effective Date

04/02/2009

Expiration Date

03/31/2010

City

GREENWOOD

State

Zip

46142

County

INDIANA

Ever Disciplined

LastModifiedDate

05/04/2010