TRACY L BRAECKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123810

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BRAECKMAN

Business Name

TRACY L BRAECKMAN

Original Issue Date

11/17/1998

Effective Date

11/17/1998

Expiration Date

03/31/2000

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005