KAITLYN E LANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131755

License Status

NOT RENEWED

Business

First Name

KAITLYN

Middle

Last Name

LANE

Business Name

KAITLYN E LANE

Original Issue Date

07/24/2000

Effective Date

07/24/2000

Expiration Date

03/31/2006

City

GRAND RAPIDS

State

Zip

49525

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/11/2006