TRACY L CORNISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093188

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

CORNISH

Business Name

TRACY L CORNISH

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

03/31/1991

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005