AMANDA LYNN LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165185

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LYNN

Last Name

LANE

Business Name

AMANDA LYNN LANE

Original Issue Date

11/23/2005

Effective Date

01/19/2012

Expiration Date

03/31/2013

City

PRINCEVILLE

State

Zip

61559

County

STARK

Ever Disciplined

LastModifiedDate

05/06/2013