WANDA ANN LONG - Pharmacist License in Illinois | # 049057791

WANDA ANN LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057791

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005