License holder summary

JESSICA MARIE LONG is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for JESSICA MARIE LONG is Irwin PA 15642. This licensed professional license is not current. The license was granted 09/19/2011 and expired on 09/30/2012.

Pennsylvania

Department of State

JESSICA MARIE LONG
Pharmacy - Authorization to Administer Injectables
License number
RPI005703
Date granted
09/19/2011
Date expires
09/30/2012
Class
Pharmacy - Authorization to Administer Injectables
Status
Inactive
Address
Irwin PA 15642
palicensing.org
ID 17111186
LAST UPDATED 2024-03-29 00:55:18 UTC

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