SHELLY A LONG - Pharmacist License in Illinois | # 049268570

SHELLY A LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268570

License Status

NOT RENEWED

Business

N

First Name

SHELLY

Middle

A

Last Name

LONG

Business Name

SHELLY A LONG

Original Issue Date

10/18/2019

Effective Date

10/18/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021