Carol Diane Latta
ExpiredIllinois license 049127165
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049127165
- Status
- Expired (Not Renewed)
- First issued
- August 25, 1999
- Expired
- March 31, 2003
- License holder
- Carol Diane Latta
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/25/1999
Other Illinois licenses under this name
-
IL
Revoked or deniedMascoutah, ILExpired Sep 30, 1991
Contact
Mascoutah, IL 62258
Saint Clair County