JUDITH ANNE LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074670

License Status

NOT RENEWED

Business

First Name

JUDITH ANNE

Last Name

LANGE

Business Name

JUDITH ANNE LANGE

Original Issue Date

05/22/1981

Effective Date

05/22/1981

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005