TINA M LONG - Pharmacist License in Illinois | # 049127187

TINA M LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127187

License Status

NOT RENEWED

Business

N

First Name

TINA

Middle

M

Last Name

LONG

Business Name

TINA M LONG

Original Issue Date

08/26/1999

Effective Date

08/26/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005