LANCE A BANGEN - Pharmacist License in Wisconsin | # 051034000

LANCE A BANGEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034000

License Status

NOT RENEWED

Business

N

First Name

LANCE A

Last Name

BANGEN

Business Name

LANCE A BANGEN

Original Issue Date

10/16/1981

Effective Date

10/16/1981

Expiration Date

03/31/1996

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005