TRACI L LONGTIN - Pharmacist License in Illinois | # 049084783

TRACI L LONGTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084783

License Status

NOT RENEWED

Business

N

First Name

TRACI

Middle

L

Last Name

LONGTIN

Business Name

TRACI L LONGTIN

Original Issue Date

07/18/1987

Effective Date

07/18/1987

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005