ALBERT R LONG - Pharmacist License in Illinois | # 049058014

ALBERT R LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058014

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005