JENNIFER M LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158243

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

LONG

Business Name

JENNIFER M LONG

Original Issue Date

12/09/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009