CHARLES K LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084085

License Status

NOT RENEWED

Business

First Name

CHARLES K

Last Name

LAKE

Business Name

CHARLES K LAKE

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

03/31/1996

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005