BRUCE D LONG Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056509

License Status

CANCELLED

Business

First Name

BRUCE D

Last Name

LONG

Business Name

BRUCE D LONG

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005