SUSANA P LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166029

License Status

NOT RENEWED

Business

First Name

SUSANA

Middle

Last Name

LANE

Business Name

SUSANA P LANE

Original Issue Date

01/11/2006

Effective Date

03/17/2020

Expiration Date

03/31/2021

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

07/20/2021