BRUCE DAVID LONG - Pharmacist License in Illinois | # 051029836

BRUCE DAVID LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029836

License Status

NOT RENEWED

Business

N

First Name

BRUCE DAVID

Last Name

LONG

Business Name

BRUCE DAVID LONG

Original Issue Date

01/02/1974

Effective Date

01/02/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005