ALICIA T LONGSTREET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147860

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

LONGSTREET

Business Name

ALICIA T LONGSTREET

Original Issue Date

04/04/2003

Effective Date

04/04/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005