BRIAN M LONG - Pharmacist License in Illinois | # 049111137

BRIAN M LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111137

License Status

NOT RENEWED

Business

N

First Name

BRIAN M

Last Name

LONG

Business Name

BRIAN M LONG

Original Issue Date

07/14/1995

Effective Date

07/14/1995

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005