DEZTINY LANIECE LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049308001

License Status

NOT RENEWED

Business

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

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

07/08/2025