CHANA SUMMITIA LONG - Pharmacist License in Illinois | # 049264090

CHANA SUMMITIA LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264090

License Status

NOT RENEWED

Business

N

First Name

CHANA

Middle

SUMMITIA

Last Name

LONG

Business Name

CHANA SUMMITIA LONG

Original Issue Date

04/05/2019

Effective Date

04/05/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021