JACOB STEWART LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217589

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

STEWART

Last Name

LANE

Business Name

JACOB STEWART LANE

Original Issue Date

04/25/2013

Effective Date

04/25/2013

Expiration Date

03/31/2014

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/06/2014