TRISTAN KYLE LONG - Pharmacist License in Illinois | # 049280424

TRISTAN KYLE LONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280424

License Status

NOT RENEWED

Business

N

First Name

TRISTAN

Middle

KYLE

Last Name

LONG

Business Name

TRISTAN KYLE LONG

Original Issue Date

03/16/2021

Effective Date

03/16/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022