SHANICKA S LAKE - Pharmacist License in Illinois | # 049201663

SHANICKA S LAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201663

License Status

NOT RENEWED

Business

N

First Name

SHANICKA

Middle

S

Last Name

LAKE

Business Name

SHANICKA S LAKE

Original Issue Date

11/23/2010

Effective Date

01/23/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013