WANDA LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083571

License Status

NOT RENEWED

Business

First Name

WANDA

Last Name

LONG

Business Name

WANDA LONG

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

03/31/1987

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005