ISAAC DUSTIN LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197664

License Status

NOT RENEWED

Business

First Name

ISAAC

Middle

DUSTIN

Last Name

LONG

Business Name

ISAAC DUSTIN LONG

Original Issue Date

04/06/2010

Effective Date

03/28/2016

Expiration Date

03/31/2017

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/10/2017