MONTANA A LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213347

License Status

NOT RENEWED

Business

First Name

MONTANA

Middle

Last Name

LONG

Prefix

Business Name

MONTANA A LONG

Original Issue Date

09/06/2012

Effective Date

09/06/2012

Expiration Date

03/31/2013

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

05/06/2013