AMY SUE LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270432

License Status

NOT RENEWED

Business

First Name

AMY

Middle

SUE

Last Name

LAKE

Business Name

AMY SUE LAKE

Original Issue Date

01/17/2020

Effective Date

01/17/2020

Expiration Date

03/31/2021

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021