ANNA LONG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221209

License Status

INACTIVE

Business

First Name

ANNA

Last Name

LONG

Business Name

ANNA LONG

Original Issue Date

10/02/2013

Effective Date

10/02/2013

Expiration Date

03/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

01/09/2014