DENNIS M LONG - Pharmacist License in Illinois | # 049069259

DENNIS M LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069259

License Status

NOT RENEWED

Business

N

First Name

DENNIS M

Last Name

LONG

Business Name

DENNIS M LONG

Original Issue Date

04/28/1978

Effective Date

04/28/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005