MONTANA A LONG - Pharmacist License in Illinois | # 049213347

MONTANA A LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213347

License Status

NOT RENEWED

Business

N

First Name

MONTANA

Middle

A

Last Name

LONG

Prefix

MR

Business Name

MONTANA A LONG

Original Issue Date

09/06/2012

Effective Date

09/06/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013