KERRY C LAKE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178291

License Status

ACTIVE

Business

First Name

KERRY

Middle

Last Name

LAKE

Business Name

KERRY C LAKE

Original Issue Date

08/07/2007

Effective Date

03/04/2026

Expiration Date

03/31/2027

City

CAPRON

State

Zip

61012

County

BOONE

Ever Disciplined

LastModifiedDate

03/04/2026