TRACY LYN DEWEESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138646

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYN

Last Name

DEWEESE

Business Name

TRACY LYN DEWEESE

Original Issue Date

10/11/2001

Effective Date

10/11/2001

Expiration Date

03/31/2002

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005