Walter Raymond Long
ExpiredIllinois license 049040697
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049040697
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- March 31, 1984
- License holder
- Walter Raymond Long
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Hoopeston, IL 60942
Vermilion County