ANDREA TRACI CHURCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133899

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

TRACI

Last Name

CHURCH

Business Name

ANDREA TRACI CHURCH

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2002

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

12/06/2005