ROBERTA LAZIER LONG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026913

License Status

INACTIVE

Business

First Name

ROBERTA LAZIER

Last Name

LONG

Business Name

ROBERTA LAZIER LONG

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

NOLENSVILLE

State

Zip

37135

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/17/2005