LANCE A BANGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034000

License Status

NOT RENEWED

Business

First Name

LANCE A

Last Name

BANGEN

Business Name

LANCE A BANGEN

Original Issue Date

10/16/1981

Effective Date

10/16/1981

Expiration Date

03/31/1996

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005