ZACHARY RYAN LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196286

License Status

NOT RENEWED

Business

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

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012