ANTHONY MICHAEL LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256067

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

MICHAEL

Last Name

LONG

Business Name

ANTHONY MICHAEL LONG

Original Issue Date

02/13/2018

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

07/15/2019