KRYSTLE A LANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176389

License Status

NOT RENEWED

Business

First Name

KRYSTLE

Middle

Last Name

LANG

Business Name

KRYSTLE A LANG

Original Issue Date

05/16/2007

Effective Date

03/05/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014