TRACI R LIES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090186

License Status

NOT RENEWED

Business

First Name

TRACI R

Last Name

LIES

Business Name

TRACI R LIES

Original Issue Date

05/31/1989

Effective Date

05/31/1989

Expiration Date

03/31/1992

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005