JEAN CAROL LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128706

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

CAROL

Last Name

LANGE

Business Name

JEAN CAROL LANGE

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/31/2004

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005