BRENDA L LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087935

License Status

NOT RENEWED

Business

First Name

BRENDA L

Last Name

LANE

Business Name

BRENDA L LANE

Original Issue Date

10/02/1988

Effective Date

10/02/1988

Expiration Date

03/31/1993

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005