TRACI L LONGTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084793

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

LONGTIN

Business Name

TRACI L LONGTIN

Original Issue Date

07/13/1987

Effective Date

02/15/2012

Expiration Date

03/31/2013

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2013