DANIEL J LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163209

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

LANE

Business Name

DANIEL J LANE

Original Issue Date

08/24/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007