MADISON D LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229403

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

LONG

Prefix

Business Name

MADISON D LONG

Original Issue Date

11/20/2014

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019