MIRANDA LONG - Pharmacist License in Illinois | # 049207050

MIRANDA LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207050

License Status

NOT RENEWED

Business

N

First Name

MIRANDA

Last Name

LONG

Prefix

MR

Business Name

MIRANDA LONG

Original Issue Date

10/01/2011

Effective Date

03/11/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014