Lataisha M Jack
ExpiredIllinois license 049133906
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049133906
- Status
- Expired (Not Renewed)
- First issued
- December 5, 2000
- Expired
- March 31, 2008
- License holder
- Lataisha M Jack
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/09/2007
Contact
Chicago, IL 60632
Cook County