TRACIE LYNN BEARDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117548

License Status

NOT RENEWED

Business

First Name

TRACIE LYNN

Last Name

BEARDEN

Business Name

TRACIE LYNN BEARDEN

Original Issue Date

05/13/1997

Effective Date

05/13/1997

Expiration Date

03/31/2003

City

MARISSA

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005