CAROLYN I LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114470

License Status

NOT RENEWED

Business

First Name

CAROLYN I

Last Name

LANE

Business Name

CAROLYN I LANE

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

03/31/1998

City

DIX

State

Zip

62830

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005