AMY N LONG - Pharmacist License in Illinois | # 049151316

AMY N LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151316

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

N

Last Name

LONG

Business Name

AMY N LONG

Original Issue Date

10/02/2003

Effective Date

10/02/2003

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006