SHELBY DANIELLE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239786

License Status

NOT RENEWED

Business

First Name

SHELBY

Middle

DANIELLE

Last Name

LONG

Business Name

SHELBY DANIELLE LONG

Original Issue Date

02/26/2016

Effective Date

02/26/2016

Expiration Date

03/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/10/2017