DEBRA KOZLOWSKI LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073715

License Status

NOT RENEWED

Business

First Name

DEBRA KOZLOWSKI

Last Name

LANGE

Business Name

DEBRA KOZLOWSKI LANGE

Original Issue Date

10/10/1980

Effective Date

10/10/1980

Expiration Date

03/31/1984

City

STREAMWOOD

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005