WALTER RAYMOND LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049040697

License Status

NOT RENEWED

Business

First Name

WALTER RAYMOND

Last Name

LONG

Business Name

WALTER RAYMOND LONG

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005