TINA LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257176

License Status

NOT RENEWED

Business

First Name

TINA

Last Name

LANE

Business Name

TINA LANE

Original Issue Date

04/02/2018

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019