ELIZABETH A LONG - Pharmacist License in Wisconsin | # 049164450

ELIZABETH A LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164450

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

A

Last Name

LONG

Business Name

ELIZABETH A LONG

Original Issue Date

10/07/2005

Effective Date

10/07/2005

Expiration Date

03/31/2006

State

WI

Ever Disciplined

N

LastModifiedDate

07/16/2007