MISTY A LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146405

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

LANE

Business Name

MISTY A LANE

Original Issue Date

12/17/2002

Effective Date

12/17/2002

Expiration Date

03/31/2004

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005