CONNIE DIANA LONG - Pharmacist License in Missouri | # 049056564

CONNIE DIANA LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056564

License Status

NOT RENEWED

Business

N

First Name

CONNIE DIANA

Last Name

LONG

Business Name

CONNIE DIANA LONG

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005