SUSAN MARIE LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128871

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

LANGE

Business Name

SUSAN MARIE LANGE

Original Issue Date

01/07/2000

Effective Date

01/07/2000

Expiration Date

03/31/2001

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005