TRACI A MIDDLETON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134724

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

MIDDLETON

Business Name

TRACI A MIDDLETON

Original Issue Date

02/23/2001

Effective Date

02/23/2001

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005