TRACI R FRIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090609

License Status

NOT RENEWED

Business

First Name

TRACI R

Last Name

FRIELDS

Business Name

TRACI R FRIELDS

Original Issue Date

07/15/1989

Effective Date

07/15/1989

Expiration Date

03/31/2006

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006