MELISSA ANN LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121730

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

LAKE

Business Name

MELISSA ANN LAKE

Original Issue Date

06/23/1998

Effective Date

06/23/1998

Expiration Date

03/31/2000

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005