TRACY L WYATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088125

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

WYATT

Business Name

TRACY L WYATT

Original Issue Date

10/22/1988

Effective Date

10/22/1988

Expiration Date

03/31/1991

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005