ALBERT R LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058014

License Status

NOT RENEWED

Business

First Name

ALBERT R

Last Name

LONG

Business Name

ALBERT R LONG

Original Issue Date

07/01/1972

Effective Date

07/01/1972

Expiration Date

01/01/1997

City

E. ST. LOUIS

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005