TRACY L GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107331

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

GRAHAM

Business Name

TRACY L GRAHAM

Original Issue Date

06/23/1994

Effective Date

06/23/1994

Expiration Date

03/31/1999

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005