CARISSA M LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237145

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

Last Name

LANGE

Business Name

CARISSA M LANGE

Original Issue Date

10/22/2015

Effective Date

10/22/2015

Expiration Date

03/31/2016

City

KEOKUK

State

Zip

52632

County

IOWA

Ever Disciplined

LastModifiedDate

05/20/2016