BRENDA J LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080897

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

LANE

Business Name

BRENDA J LANE

Original Issue Date

03/22/1985

Effective Date

03/22/1985

Expiration Date

03/31/1993

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005