MIA MARKITA LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255968

License Status

NOT RENEWED

Business

First Name

MIA

Middle

MARKITA

Last Name

LANE

Business Name

MIA MARKITA LANE

Original Issue Date

02/02/2018

Effective Date

01/17/2019

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/08/2021