LATOYA K LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153409

License Status

NOT RENEWED

Business

First Name

LATOYA

Middle

Last Name

LONG

Business Name

LATOYA K LONG

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005