JUDY C AZCONA LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114010

License Status

NOT RENEWED

Business

First Name

JUDY C

Last Name

AZCONA LONG

Business Name

JUDY C AZCONA LONG

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

03/31/2000

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005