MICHAEL LEWIS LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189071

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

LEWIS

Last Name

LONG

Business Name

MICHAEL LEWIS LONG

Original Issue Date

01/07/2009

Effective Date

02/13/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015