AMY M LAKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161559

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

LAKES

Business Name

AMY M LAKES

Original Issue Date

06/08/2005

Effective Date

03/10/2006

Expiration Date

03/31/2007

City

INDIANAPOLIS

State

Zip

46227

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007