WANDA ANN LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057791

License Status

NOT RENEWED

Business

First Name

WANDA ANN

Last Name

LONG

Business Name

WANDA ANN LONG

Original Issue Date

05/27/1972

Effective Date

05/27/1972

Expiration Date

01/01/1997

City

QUINCY

State

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005