MATTHEW M LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143235

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

LANE

Business Name

MATTHEW M LANE

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

03/31/2005

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005