BRENDA KAY LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119548

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

KAY

Last Name

LONG

Business Name

BRENDA KAY LONG

Original Issue Date

12/10/1997

Effective Date

12/10/1997

Expiration Date

03/31/1999

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005