HAILEY ELIZABETH LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268266

License Status

NOT RENEWED

Business

First Name

HAILEY

Middle

ELIZABETH

Last Name

LONG

Business Name

HAILEY ELIZABETH LONG

Original Issue Date

10/04/2019

Effective Date

04/05/2021

Expiration Date

05/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022