TRACY DENISE MAEBANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119082

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

DENISE

Last Name

MAEBANE

Business Name

TRACY DENISE MAEBANE

Original Issue Date

10/17/1997

Effective Date

10/17/1997

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005