WAYNE R LONGWILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077013

License Status

NOT RENEWED

Business

First Name

WAYNE R

Last Name

LONGWILL

Business Name

WAYNE R LONGWILL

Original Issue Date

09/02/1982

Effective Date

09/02/1982

Expiration Date

03/31/1986

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005