JOHN R LONG - Pharmacist License in Illinois | # 049057399

JOHN R LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057399

License Status

NOT RENEWED

Business

N

First Name

JOHN R

Last Name

LONG

Business Name

JOHN R LONG

Original Issue Date

02/18/1972

Effective Date

02/18/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005