TRACEY L KENNEDY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112071

License Status

NOT RENEWED

Business

First Name

TRACEY L

Last Name

KENNEDY

Business Name

TRACEY L KENNEDY

Original Issue Date

10/12/1995

Effective Date

10/12/1995

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005