SHANICKA S LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201663

License Status

NOT RENEWED

Business

First Name

SHANICKA

Middle

Last Name

LAKE

Business Name

SHANICKA S LAKE

Original Issue Date

11/23/2010

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013