MICHAEL LEWIS LONG Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297736

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

LEWIS

Last Name

LONG

Business Name

MICHAEL LEWIS LONG

Original Issue Date

08/07/2014

Effective Date

03/06/2026

Expiration Date

03/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/06/2026