PAULA MAY LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179211

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

MAY

Last Name

LAKE

Business Name

PAULA MAY LAKE

Original Issue Date

09/13/2007

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/10/2017