KELLY A LONG - Pharmacist License in Illinois | # 049183157

KELLY A LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183157

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

A

Last Name

LONG

Business Name

KELLY A LONG

Original Issue Date

03/28/2008

Effective Date

03/11/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010