JAMIE M LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213639

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

LANE

Business Name

JAMIE M LANE

Original Issue Date

09/21/2012

Effective Date

01/17/2013

Expiration Date

03/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2014