DEZTINY LANIECE LAKE - Pharmacist License in Illinois | # 049308001

DEZTINY LANIECE LAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049308001

License Status

NOT RENEWED

Business

N

First Name

DEZTINY

Middle

LANIECE

Last Name

LAKE

Business Name

DEZTINY LANIECE LAKE

Original Issue Date

11/28/2023

Effective Date

02/27/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025