MEGAN LORENA LAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282570

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

LORENA

Last Name

LAKE

Business Name

MEGAN LORENA LAKE

Original Issue Date

05/24/2021

Effective Date

05/24/2021

Expiration Date

05/31/2022

City

PALMYRA

State

Zip

63461

Ever Disciplined

LastModifiedDate

07/27/2022