LANCE A MAYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164756

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

Last Name

MAYER

Business Name

LANCE A MAYER

Original Issue Date

09/28/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LAKE VILLA

State

Zip

60046

Ever Disciplined

LastModifiedDate

05/14/2007