BRIAN M LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111137

License Status

NOT RENEWED

Business

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

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005