JACK W LANGE - Pharmacist License in Illinois | # 049224554

JACK W LANGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224554

License Status

NOT RENEWED

Business

N

First Name

JACK

Middle

W

Last Name

LANGE

Prefix

MR

Business Name

JACK W LANGE

Original Issue Date

04/14/2014

Effective Date

04/14/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015