MARVIN P LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022457

License Status

NOT RENEWED

Business

First Name

MARVIN P

Last Name

LONG

Business Name

MARVIN P LONG

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005