JACK W LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224554

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

LANGE

Prefix

Business Name

JACK W LANGE

Original Issue Date

04/14/2014

Effective Date

04/14/2014

Expiration Date

03/31/2015

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015