Pharmacist
PHARMACY TECHNICIAN
049180193
NOT RENEWED
N
KENNETH
R
SCIACCOTTA LONG
KENNETH R SCIACCOTTA LONG
10/26/2007
03/11/2013
03/31/2014
SOUTH ELGIN
IL
60177
KANE
Y
12/02/2014
2013006732
Refuse To Renew
11/21/2014
after he pled guilty to class 3 theft for diverting controlled substnces from Walgreens #7100.