RITA M LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173844

License Status

NOT RENEWED

Business

First Name

RITA

Middle

Last Name

LAKE

Business Name

RITA M LAKE

Original Issue Date

01/23/2007

Effective Date

05/19/2015

Expiration Date

03/31/2016

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016