MARY M LONGEROT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125837

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LONGEROT

Business Name

MARY M LONGEROT

Original Issue Date

05/10/1999

Effective Date

05/10/1999

Expiration Date

03/31/2000

City

VIRGINIA

State

Zip

62691

County

CASS

Ever Disciplined

LastModifiedDate

10/21/2005