KRISTAN M LONG-AUGUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092129

License Status

NOT RENEWED

Business

First Name

KRISTAN M

Last Name

LONG-AUGUSTIN

Business Name

KRISTAN M LONG-AUGUSTIN

Original Issue Date

01/27/1990

Effective Date

01/27/1990

Expiration Date

03/31/1991

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005