VICKI ANN LONG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296406

License Status

INACTIVE

Business

First Name

VICKI

Middle

ANN

Last Name

LONG

Business Name

VICKI ANN LONG

Original Issue Date

12/19/2012

Effective Date

03/16/2016

Expiration Date

03/31/2018

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

01/12/2018