MARTIN R LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169411

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

LANGE

Business Name

MARTIN R LANGE

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007