MADISON D LONG - Pharmacist License in Illinois | # 049229403

MADISON D LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229403

License Status

NOT RENEWED

Business

N

First Name

MADISON

Middle

D

Last Name

LONG

Prefix

MR

Business Name

MADISON D LONG

Original Issue Date

11/20/2014

Effective Date

03/19/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019