ELIZABETH A LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164450

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

LONG

Business Name

ELIZABETH A LONG

Original Issue Date

10/07/2005

Effective Date

10/07/2005

Expiration Date

03/31/2006

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/16/2007