TIFFANY D LONGEST - Pharmacist License in Illinois | # 049179273

TIFFANY D LONGEST

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179273

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

D

Last Name

LONGEST

Prefix

MR

Business Name

TIFFANY D LONGEST

Original Issue Date

09/18/2007

Effective Date

03/29/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011