JEANIE M LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213785

License Status

NOT RENEWED

Business

First Name

JEANIE

Middle

Last Name

LONG

Business Name

JEANIE M LONG

Original Issue Date

09/28/2012

Effective Date

04/01/2013

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014