BARBARA RAE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062460

License Status

NOT RENEWED

Business

First Name

BARBARA RAE

Last Name

LONG

Business Name

BARBARA RAE LONG

Original Issue Date

11/01/1974

Effective Date

11/01/1974

Expiration Date

01/01/1997

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005