DENISE D LONG - Pharmacist License in Illinois | # 049062324

DENISE D LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062324

License Status

NOT RENEWED

Business

N

First Name

DENISE D

Last Name

LONG

Business Name

DENISE D LONG

Original Issue Date

10/04/1974

Effective Date

10/04/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005