NAKIA T LONG - Pharmacist License in Illinois | # 049147452

NAKIA T LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147452

License Status

NOT RENEWED

Business

N

First Name

NAKIA

Middle

T

Last Name

LONG

Business Name

NAKIA T LONG

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005