LARA ANNE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221571

License Status

NOT RENEWED

Business

First Name

LARA

Middle

ANNE

Last Name

LONG

Business Name

LARA ANNE LONG

Original Issue Date

10/22/2013

Effective Date

10/22/2013

Expiration Date

03/31/2014

City

TERRE HAUTE

State

Zip

47805

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2014