TRISTAN KYLE LONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280424

License Status

NOT RENEWED

Business

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

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022