DAVID JOHN LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137831

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JOHN

Last Name

LANGE

Business Name

DAVID JOHN LANGE

Original Issue Date

08/24/2001

Effective Date

03/28/2013

Expiration Date

03/31/2014

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2014