EARLENE LANGE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065927

License Status

INACTIVE

Business

First Name

EARLENE

Last Name

LANGE

Business Name

EARLENE LANGE

Original Issue Date

08/13/1976

Effective Date

01/24/2013

Expiration Date

03/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/09/2014