TRACY L FOHRMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120634

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

FOHRMAN

Business Name

TRACY L FOHRMAN

Original Issue Date

04/17/1998

Effective Date

04/17/1998

Expiration Date

03/31/2000

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005