BRENDA MARY LONGTIN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064761

License Status

CANCELLED

Business

First Name

BRENDA MARY

Last Name

LONGTIN

Business Name

BRENDA MARY LONGTIN

Original Issue Date

01/23/1976

Effective Date

01/23/1976

Expiration Date

01/01/1997

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005