ANDREA TRACI CHURCH - Pharmacist License in Illinois | # 049133899

ANDREA TRACI CHURCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133899

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

TRACI

Last Name

CHURCH

Business Name

ANDREA TRACI CHURCH

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005