TRACY LOUISE ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135355

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LOUISE

Last Name

ROBERTS

Business Name

TRACY LOUISE ROBERTS

Original Issue Date

03/21/2001

Effective Date

03/21/2001

Expiration Date

03/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

12/06/2005