SALLY JEAN TRACH PECK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064526

License Status

NOT RENEWED

Business

First Name

SALLY JEAN TRACH

Last Name

PECK

Business Name

SALLY JEAN TRACH PECK

Original Issue Date

11/28/1975

Effective Date

11/28/1975

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005