GRACELYNN JAMES LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281288

License Status

NOT RENEWED

Business

First Name

GRACELYNN

Middle

JAMES

Last Name

LANGE

Business Name

GRACELYNN JAMES LANGE

Original Issue Date

04/08/2021

Effective Date

04/08/2021

Expiration Date

05/31/2022

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

07/27/2022