ELIZABETH A LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099788

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

LONG

Business Name

ELIZABETH A LONG

Original Issue Date

04/03/1992

Effective Date

04/03/1992

Expiration Date

03/31/1997

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005