ERIN L LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136510

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

LANE

Business Name

ERIN L LANE

Original Issue Date

05/31/2001

Effective Date

03/16/2022

Expiration Date

03/31/2023

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023