JOHN RICHARD LANGE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024381

License Status

INACTIVE

Business

First Name

JOHN RICHARD

Last Name

LANGE

Business Name

JOHN RICHARD LANGE

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005