SUSAN KAY LANGE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184067

License Status

INACTIVE

Business

First Name

SUSAN

Middle

KAY

Last Name

LANGE

Business Name

SUSAN KAY LANGE

Original Issue Date

05/05/2008

Effective Date

02/26/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/05/2011