The holder whose full name is Long, Allyson Nicole,come from Avon IN,hold the Pharmacy Intern license(NO.45012066A) which status is Superceded.
| Name | Long, Allyson Nicole |
|---|---|
| License Number | 45012066A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Avon |
| State | IN |