SIMELEON C LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152174

License Status

NOT RENEWED

Business

First Name

SIMELEON

Middle

Last Name

LANE

Business Name

SIMELEON C LANE

Original Issue Date

11/17/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009