JAIMIE LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184496

License Status

NOT RENEWED

Business

First Name

JAIMIE

Last Name

LANE

Prefix

Business Name

JAIMIE LANE

Original Issue Date

05/23/2008

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010