REBECCA ANNE LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295895

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ANNE

Last Name

LAKE

Business Name

REBECCA ANNE LAKE

Original Issue Date

09/15/2022

Effective Date

09/15/2022

Expiration Date

03/31/2023

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

09/07/2023