ZACHARY RYAN LONG - Pharmacist License in Illinois | # 049196286

ZACHARY RYAN LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196286

License Status

NOT RENEWED

Business

N

First Name

ZACHARY

Middle

RYAN

Last Name

LONG

Business Name

ZACHARY RYAN LONG

Original Issue Date

01/19/2010

Effective Date

02/22/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012