JESSICA NICHOLE LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246367

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

NICHOLE

Last Name

LANE

Business Name

JESSICA NICHOLE LANE

Original Issue Date

11/16/2016

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

06/19/2018