BROOKE M LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204371

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

LANGE

Business Name

BROOKE M LANGE

Original Issue Date

05/24/2011

Effective Date

01/03/2013

Expiration Date

03/31/2014

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2014