SHANNON HONORINE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110373

License Status

NOT RENEWED

Business

First Name

SHANNON HONORINE

Last Name

LONG

Business Name

SHANNON HONORINE LONG

Original Issue Date

05/04/1995

Effective Date

05/04/1995

Expiration Date

03/31/1996

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005