TRACY LYNN BOUDREAU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116467

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

BOUDREAU

Business Name

TRACY LYNN BOUDREAU

Original Issue Date

02/04/1997

Effective Date

02/04/1997

Expiration Date

03/31/2002

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

12/06/2005