MELANIE A LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132979

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

LONG

Business Name

MELANIE A LONG

Original Issue Date

10/06/2000

Effective Date

10/06/2000

Expiration Date

03/31/2001

City

MALTA

State

Zip

60150

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005