SAMUEL F LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071411

License Status

NOT RENEWED

Business

First Name

SAMUEL F

Last Name

LAKE

Business Name

SAMUEL F LAKE

Original Issue Date

06/22/1979

Effective Date

06/22/1979

Expiration Date

03/31/1984

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005