AMANDA R LONG - Pharmacist License in Illinois | # 049153986

AMANDA R LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153986

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

R

Last Name

LONG

Business Name

AMANDA R LONG

Original Issue Date

04/07/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008