JENNIFER REBECCA LANGE - Pharmacist License in Indiana | # 049148070

JENNIFER REBECCA LANGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148070

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

REBECCA

Last Name

LANGE

Business Name

JENNIFER REBECCA LANGE

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

03/31/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005