DOUGLAS V LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099600

License Status

NOT RENEWED

Business

First Name

DOUGLAS V

Last Name

LANE

Business Name

DOUGLAS V LANE

Original Issue Date

03/05/1992

Effective Date

03/05/1992

Expiration Date

03/31/1999

City

LYONS

State

Zip

60534

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005