MIRANDA MICHELLE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270937

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

MICHELLE

Last Name

LONG

Business Name

MIRANDA MICHELLE LONG

Original Issue Date

02/13/2020

Effective Date

03/12/2022

Expiration Date

03/31/2023

City

DAVENPORT

State

Zip

52807

County

SCOTT

Ever Disciplined

LastModifiedDate

09/07/2023