DAVID W LANE - Pharmacist License in Illinois | # 049077403

DAVID W LANE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077403

License Status

NOT RENEWED

Business

N

First Name

DAVID W

Last Name

LANE

Business Name

DAVID W LANE

Original Issue Date

11/19/1982

Effective Date

11/19/1982

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005