LORETTA A LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089797

License Status

NOT RENEWED

Business

First Name

LORETTA A

Last Name

LANGE

Business Name

LORETTA A LANGE

Original Issue Date

04/29/1989

Effective Date

04/29/1989

Expiration Date

03/31/1991

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005