TRACY C ETTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127206

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

ETTEN

Business Name

TRACY C ETTEN

Original Issue Date

08/27/1999

Effective Date

08/27/1999

Expiration Date

03/31/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005