PEGGY M LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076342

License Status

NOT RENEWED

Business

First Name

PEGGY M

Last Name

LONG

Business Name

PEGGY M LONG

Original Issue Date

04/15/1982

Effective Date

04/15/1982

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005