DAVID M LANEBACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106230

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

LANEBACK

Business Name

DAVID M LANEBACK

Original Issue Date

03/10/1994

Effective Date

03/10/1994

Expiration Date

03/31/1999

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005