LANCE BANGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064165

License Status

NOT RENEWED

Business

First Name

LANCE

Last Name

BANGEN

Business Name

LANCE BANGEN

Original Issue Date

09/12/1975

Effective Date

09/12/1975

Expiration Date

01/01/1997

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005