JAKE S LATHAM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302111

License Status

INACTIVE

Business

First Name

JAKE

Middle

Last Name

LATHAM

Business Name

JAKE S LATHAM

Original Issue Date

06/13/2019

Effective Date

01/18/2024

Expiration Date

03/31/2026

City

SAINT JOHN

State

Zip

46373

Ever Disciplined

LastModifiedDate

03/24/2026