KATRINA A LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235901

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

Last Name

LANE

Prefix

Business Name

KATRINA A LANE

Original Issue Date

08/28/2015

Effective Date

03/28/2017

Expiration Date

03/31/2018

City

BEMENT

State

Zip

61813

County

PIATT

Ever Disciplined

LastModifiedDate

06/19/2018