MADALYN R LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244439

License Status

NOT RENEWED

Business

First Name

MADALYN

Middle

Last Name

LANE

Business Name

MADALYN R LANE

Original Issue Date

09/02/2016

Effective Date

03/25/2021

Expiration Date

05/31/2022

City

CHENOA

State

Zip

61726

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022