TRACY L BURK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109144

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

BURK

Business Name

TRACY L BURK

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

03/31/2000

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005