MATTHEW ROBERT LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253111

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

LONG

Business Name

MATTHEW ROBERT LONG

Original Issue Date

09/18/2017

Effective Date

02/05/2023

Expiration Date

03/31/2024

City

ROCK FALLS

State

Zip

61071

Ever Disciplined

LastModifiedDate

01/03/2025