ANTHONY PATRICK LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178356

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

PATRICK

Last Name

LANGE

Business Name

ANTHONY PATRICK LANGE

Original Issue Date

08/09/2007

Effective Date

09/17/2012

Expiration Date

03/31/2013

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2013