TRACIE E PETZING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113519

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

PETZING

Business Name

TRACIE E PETZING

Original Issue Date

02/26/1996

Effective Date

02/26/1996

Expiration Date

03/31/2000

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/21/2005