Traci M Lane
ExpiredIllinois license 049094504
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049094504
- Status
- Expired (Not Renewed)
- First issued
- September 21, 1990
- Expired
- March 31, 1992
- License holder
- Traci M Lane
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/21/1990
Contact
Winchester, MA 01890
Massachusetts County