TRACIE L LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175765

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

LANGE

Business Name

TRACIE L LANGE

Original Issue Date

04/23/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009