BRENDA KAY LONG - Pharmacist License in Illinois | # 049119548

BRENDA KAY LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119548

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005