JENNIFER REBECCA LANGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148070

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

REBECCA

Last Name

LANGE

Business Name

JENNIFER REBECCA LANGE

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

03/31/2004

City

PRINCETON

State

Zip

47670

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005