KERIANNE MARIE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159208

License Status

NOT RENEWED

Business

First Name

KERIANNE

Middle

MARIE

Last Name

LONG

Business Name

KERIANNE MARIE LONG

Original Issue Date

02/14/2005

Effective Date

02/14/2005

Expiration Date

03/31/2006

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006