AMANDA MARIE LANE - Pharmacist License in Illinois | # 049182190

AMANDA MARIE LANE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182190

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009