ANNETTE M LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100451

License Status

NOT RENEWED

Business

First Name

ANNETTE M

Last Name

LANE

Business Name

ANNETTE M LANE

Original Issue Date

06/22/1992

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022