Lara Anne Long
ExpiredIllinois license 049221571
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049221571
- Status
- Expired (Not Renewed)
- First issued
- October 22, 2013
- Expired
- March 31, 2014
- License holder
- Lara Anne Long
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/22/2013
Contact
Terre Haute, IN 47805
Indiana County