JENNIFER D LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188629

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

LANE

Prefix

Business Name

JENNIFER D LANE

Original Issue Date

12/09/2008

Effective Date

12/09/2008

Expiration Date

03/31/2009

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/06/2009