BRENDA MARY LONGTIN - Pharmacist License in Indiana | # 049064761

BRENDA MARY LONGTIN

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064761

License Status

CANCELLED

Business

N

First Name

BRENDA MARY

Last Name

LONGTIN

Business Name

BRENDA MARY LONGTIN

Original Issue Date

01/23/1976

Effective Date

01/23/1976

Expiration Date

01/01/1997

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005