NICOLE D LONG - Pharmacist License in Illinois | # 049123000

NICOLE D LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123000

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

D

Last Name

LONG

Business Name

NICOLE D LONG

Original Issue Date

10/01/1998

Effective Date

06/17/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

06/13/2019