MICHELLE R LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187266

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

LONG

Business Name

MICHELLE R LONG

Original Issue Date

09/23/2008

Effective Date

03/13/2013

Expiration Date

03/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014