KATHLENE LAVERN LANCASTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157909

License Status

NOT RENEWED

Business

First Name

KATHLENE

Middle

LAVERN

Last Name

LANCASTER

Business Name

KATHLENE LAVERN LANCASTER

Original Issue Date

11/17/2004

Effective Date

11/17/2004

Expiration Date

03/31/2005

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/20/2005