NICOLE D LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123000

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

LONG

Business Name

NICOLE D LONG

Original Issue Date

10/01/1998

Effective Date

06/17/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

06/13/2019