MICHELLE RENEE LANE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123165

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

RENEE

Last Name

LANE

Business Name

MICHELLE RENEE LANE

Original Issue Date

10/09/1998

Effective Date

04/11/2011

Expiration Date

03/31/2012

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2012