MATTHEW M LANE - Pharmacist License in Illinois | # 049143235

MATTHEW M LANE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143235

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

M

Last Name

LANE

Business Name

MATTHEW M LANE

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005