MARY CATHERINE LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069292

License Status

NOT RENEWED

Business

First Name

MARY CATHERINE

Last Name

LAKE

Business Name

MARY CATHERINE LAKE

Original Issue Date

05/05/1978

Effective Date

05/05/1978

Expiration Date

03/31/1984

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005