The holder whose full name is LONG, THEODORE E,come from WABASH IN,hold the Pharmacist license(NO.26010277A) which status is Expired Non-Renewable.
| Name | LONG, THEODORE E |
|---|---|
| License Number | 26010277A |
| License Type | Pharmacist |
| License Status | Expired Non-Renewable |
| City | WABASH |
| State | IN |