MIRANDA LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207050

License Status

NOT RENEWED

Business

First Name

MIRANDA

Last Name

LONG

Prefix

Business Name

MIRANDA LONG

Original Issue Date

10/01/2011

Effective Date

03/11/2013

Expiration Date

03/31/2014

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/06/2014