DESTINEY A LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176346

License Status

NOT RENEWED

Business

First Name

DESTINEY

Middle

Last Name

LAKE

Business Name

DESTINEY A LAKE

Original Issue Date

05/16/2007

Effective Date

06/13/2008

Expiration Date

03/31/2009

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009