MATTHEW R LANE - Pharmacist License in Illinois | # 049146889

MATTHEW R LANE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146889

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

R

Last Name

LANE

Business Name

MATTHEW R LANE

Original Issue Date

01/31/2003

Effective Date

03/31/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011