JENNIFER F LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141054

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

LONG

Business Name

JENNIFER F LONG

Original Issue Date

02/28/2002

Effective Date

02/28/2002

Expiration Date

03/31/2006

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006