LEANNE M LONGTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187169

License Status

NOT RENEWED

Business

First Name

LEANNE

Middle

Last Name

LONGTIN

Prefix

Business Name

LEANNE M LONGTIN

Original Issue Date

09/21/2008

Effective Date

04/09/2012

Expiration Date

03/31/2013

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/16/2015

Case Number

2013001777

Action

Revocation

Discipline Start Date

07/08/2015

Discipline Reason

for drug diversion on or about January, 2013.