ERIN BETH LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158065

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

BETH

Last Name

LONG

Business Name

ERIN BETH LONG

Original Issue Date

12/01/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/02/2008