DAVID LEE LAKES - Pharmacist License in Illinois | # 049156322

DAVID LEE LAKES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156322

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

LEE

Last Name

LAKES

Business Name

DAVID LEE LAKES

Original Issue Date

07/29/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009