SUZANNE M LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084801

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

LANGE

Business Name

SUZANNE M LANGE

Original Issue Date

07/13/1987

Effective Date

07/13/1987

Expiration Date

03/31/1988

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005