CASSANDRA LEEANNE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263516

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

LEEANNE

Last Name

LONG

Business Name

CASSANDRA LEEANNE LONG

Original Issue Date

02/20/2019

Effective Date

01/24/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021