LISA S LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107128

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

LANGE

Business Name

LISA S LANGE

Original Issue Date

06/08/1994

Effective Date

06/08/1994

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005