LANCE KENDALL NOVAK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062781

License Status

CANCELLED

Business

First Name

LANCE KENDALL

Last Name

NOVAK

Business Name

LANCE KENDALL NOVAK

Original Issue Date

01/10/1975

Effective Date

01/10/1975

Expiration Date

01/01/1997

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005