JENNY ANN LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125002

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

ANN

Last Name

LONG

Business Name

JENNY ANN LONG

Original Issue Date

03/12/1999

Effective Date

03/12/1999

Expiration Date

03/31/2001

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005