ROBERTA LAZIER LONG - Pharmacist License in Tennessee | # 051026913

ROBERTA LAZIER LONG

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026913

License Status

INACTIVE

Business

N

First Name

ROBERTA LAZIER

Last Name

LONG

Business Name

ROBERTA LAZIER LONG

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

State

TN

Ever Disciplined

N

LastModifiedDate

10/17/2005