TRACI M LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094504

License Status

NOT RENEWED

Business

First Name

TRACI M

Last Name

LANE

Business Name

TRACI M LANE

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

03/31/1992

City

WINCHESTER

State

Zip

01890

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/17/2005