JEAN CAROLINE M LONGRIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060802

License Status

NOT RENEWED

Business

First Name

JEAN CAROLINE M

Last Name

LONGRIE

Business Name

JEAN CAROLINE M LONGRIE

Original Issue Date

01/02/1974

Effective Date

01/02/1974

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005