MISTY J LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210210

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

LONG

Business Name

MISTY J LONG

Original Issue Date

04/09/2012

Effective Date

04/09/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013