TRACY L ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101645

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

ANDERSON

Business Name

TRACY L ANDERSON

Original Issue Date

11/06/1992

Effective Date

11/06/1992

Expiration Date

03/31/2005

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005