JAIME C LONGBOTTOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139176

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

Last Name

LONGBOTTOM

Business Name

JAIME C LONGBOTTOM

Original Issue Date

11/13/2001

Effective Date

11/13/2001

Expiration Date

03/31/2003

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005