LISA LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071546

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

LANGE

Business Name

LISA LANGE

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

03/31/1996

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

10/17/2005