LATOYA K LONG - Pharmacist License in Illinois | # 049153409

LATOYA K LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153409

License Status

NOT RENEWED

Business

N

First Name

LATOYA

Middle

K

Last Name

LONG

Business Name

LATOYA K LONG

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005