TRACI M CLODFELDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119980

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

CLODFELDER

Business Name

TRACI M CLODFELDER

Original Issue Date

02/03/1998

Effective Date

02/03/1998

Expiration Date

03/31/1999

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/22/2007