TRACY A MARLOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142204

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

MARLOW

Business Name

TRACY A MARLOW

Original Issue Date

05/08/2002

Effective Date

05/08/2002

Expiration Date

03/31/2003

City

FAIRFIELD

State

Zip

62837

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/20/2005