TABITHA T LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182905

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

LONG

Business Name

TABITHA T LONG

Original Issue Date

03/19/2008

Effective Date

02/02/2009

Expiration Date

03/31/2010

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/04/2010