LEIGH A LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112065

License Status

NOT RENEWED

Business

First Name

LEIGH A

Last Name

LONG

Business Name

LEIGH A LONG

Original Issue Date

10/12/1995

Effective Date

10/12/1995

Expiration Date

03/31/1999

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005