SUSAN KAY LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075317

License Status

NOT RENEWED

Business

First Name

SUSAN KAY

Last Name

LANGE

Business Name

SUSAN KAY LANGE

Original Issue Date

09/11/1981

Effective Date

09/11/1981

Expiration Date

03/31/1999

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

10/17/2005