LANE H GORDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054631

License Status

NOT RENEWED

Business

First Name

LANE H

Last Name

GORDON

Business Name

LANE H GORDON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005