STEPHANIE R CUNNINGHAM-LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164603

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

CUNNINGHAM-LONG

Business Name

STEPHANIE R CUNNINGHAM-LONG

Original Issue Date

10/03/2005

Effective Date

10/25/2005

Expiration Date

03/31/2006

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006