AMY N LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224501

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

LATHAM

Business Name

AMY N LATHAM

Original Issue Date

04/11/2014

Effective Date

02/19/2021

Expiration Date

05/31/2022

City

KENOSHA

State

Zip

53142

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022