GREGORY B LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096876

License Status

NOT RENEWED

Business

First Name

GREGORY B

Last Name

LONG

Business Name

GREGORY B LONG

Original Issue Date

05/14/1991

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015