TIFFANY A LAKE LUCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180159

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

LAKE LUCKETT

Prefix

Business Name

TIFFANY A LAKE LUCKETT

Original Issue Date

10/25/2007

Effective Date

10/25/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008