LEANDREA C LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214577

License Status

NOT RENEWED

Business

First Name

LEANDREA

Middle

Last Name

LAKE

Prefix

Business Name

LEANDREA C LAKE

Original Issue Date

11/15/2012

Effective Date

11/15/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013