COY BERNARD LANE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027593

License Status

INACTIVE

Business

First Name

COY BERNARD

Last Name

LANE

Business Name

COY BERNARD LANE

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

ORANGE PARK

State

Zip

32073

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005