AMANDA MARIE LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182190

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MARIE

Last Name

LANE

Business Name

AMANDA MARIE LANE

Original Issue Date

02/15/2008

Effective Date

02/15/2008

Expiration Date

03/31/2009

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2009