SHELLY A LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268570

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

LONG

Business Name

SHELLY A LONG

Original Issue Date

10/18/2019

Effective Date

10/18/2019

Expiration Date

09/30/2020

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021