TRACY L LASHBROOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115172

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

LASHBROOK

Business Name

TRACY L LASHBROOK

Original Issue Date

09/04/1996

Effective Date

09/04/1996

Expiration Date

03/31/2002

City

ALLENDALE

State

Zip

62410

County

WABASH

Ever Disciplined

LastModifiedDate

12/06/2005