Tristan Kyle Long
ExpiredIllinois license 049280424
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049280424
- Status
- Expired (Not Renewed)
- First issued
- March 16, 2021
- Expired
- May 31, 2022
- License holder
- Tristan Kyle Long
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/16/2021
Contact
Dupo, IL 62239
Saint Clair County