KATHY SUE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111542

License Status

NOT RENEWED

Business

First Name

KATHY SUE

Last Name

LONG

Business Name

KATHY SUE LONG

Original Issue Date

08/16/1995

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016