AMBER MICHELLE LONGSDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159098

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

MICHELLE

Last Name

LONGSDON

Business Name

AMBER MICHELLE LONGSDON

Original Issue Date

02/08/2005

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012