TINA M LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127187

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

LONG

Business Name

TINA M LONG

Original Issue Date

08/26/1999

Effective Date

08/26/1999

Expiration Date

03/31/2000

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005