LANE D CANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162869

License Status

NOT RENEWED

Business

First Name

LANE

Middle

Last Name

CANNON

Business Name

LANE D CANNON

Original Issue Date

08/09/2005

Effective Date

02/23/2015

Expiration Date

03/31/2016

City

BRACEVILLE

State

Zip

60407

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/20/2016