JENNIVEE R LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092283

License Status

NOT RENEWED

Business

First Name

JENNIVEE R

Last Name

LANGE

Business Name

JENNIVEE R LANGE

Original Issue Date

02/15/1990

Effective Date

03/12/2013

Expiration Date

03/31/2014

City

ROUND LAKE BEACH

State

Zip

60072

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2014