PADEN LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242100

License Status

NOT RENEWED

Business

First Name

PADEN

Last Name

LONG

Prefix

Business Name

PADEN LONG

Original Issue Date

05/27/2016

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

01/08/2021