BROOKS T LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203614

License Status

NOT RENEWED

Business

First Name

BROOKS

Middle

Last Name

LANE

Prefix

Business Name

BROOKS T LANE

Original Issue Date

04/12/2011

Effective Date

02/14/2013

Expiration Date

03/31/2014

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

05/06/2014