Kelly A Lange
ExpiredIllinois license 049129743
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049129743
- Status
- Expired (Not Renewed)
- First issued
- March 6, 2000
- Expired
- March 31, 2008
- License holder
- Kelly A Lange
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/09/2007
Contact
Rockton, IL 61072
Winnebago County