BERNARD LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133724

License Status

NOT RENEWED

Business

First Name

BERNARD

Last Name

LAKE

Business Name

BERNARD LAKE

Original Issue Date

11/22/2000

Effective Date

11/22/2000

Expiration Date

03/31/2004

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005