KENNETH G LONG - Pharmacist License in Illinois | # 049086953

KENNETH G LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086953

License Status

NOT RENEWED

Business

N

First Name

KENNETH G

Last Name

LONG

Business Name

KENNETH G LONG

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

03/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005