MICHELLE L LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288286

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

LONG

Business Name

MICHELLE L LONG

Original Issue Date

06/12/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/11/2006