PATRICIA M LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056792

License Status

NOT RENEWED

Business

First Name

PATRICIA M

Last Name

LANGE

Business Name

PATRICIA M LANGE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005