GREGORY LEE LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181110

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

LEE

Last Name

LANGE

Business Name

GREGORY LEE LANGE

Original Issue Date

12/12/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ELWOOD

State

Zip

60421

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009