DAVID A LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071683

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

LANGE

Business Name

DAVID A LANGE

Original Issue Date

08/03/1979

Effective Date

08/03/1979

Expiration Date

03/31/1984

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005