MONIQUECA SHERITA LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157984

License Status

NOT RENEWED

Business

First Name

MONIQUECA

Middle

SHERITA

Last Name

LONG

Business Name

MONIQUECA SHERITA LONG

Original Issue Date

11/23/2004

Effective Date

03/12/2012

Expiration Date

03/31/2013

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013