LANE E EBERLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180490

License Status

NOT RENEWED

Business

First Name

LANE

Middle

Last Name

EBERLIN

Business Name

LANE E EBERLIN

Original Issue Date

11/09/2007

Effective Date

11/24/2010

Expiration Date

03/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/12/2011