DARRIUS PHILLIP LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209357

License Status

NOT RENEWED

Business

First Name

DARRIUS

Middle

PHILLIP

Last Name

LONG

Business Name

DARRIUS PHILLIP LONG

Original Issue Date

02/24/2012

Effective Date

03/04/2013

Expiration Date

03/31/2014

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014