TRACEY R GAUDETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094516

License Status

NOT RENEWED

Business

First Name

TRACEY R

Last Name

GAUDETTE

Business Name

TRACEY R GAUDETTE

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

03/31/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005