CHAKA KAHN LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231223

License Status

NOT RENEWED

Business

First Name

CHAKA

Middle

KAHN

Last Name

LANE

Business Name

CHAKA KAHN LANE

Original Issue Date

02/18/2015

Effective Date

11/18/2016

Expiration Date

03/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017