KRISTIN M LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136938

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

LANGE

Business Name

KRISTIN M LANGE

Original Issue Date

07/02/2001

Effective Date

07/02/2001

Expiration Date

03/31/2005

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005