KELLY A LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183157

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LONG

Business Name

KELLY A LONG

Original Issue Date

03/28/2008

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010