TRACY BROOKE STINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142370

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

BROOKE

Last Name

STINE

Business Name

TRACY BROOKE STINE

Original Issue Date

05/09/2002

Effective Date

03/26/2018

Expiration Date

03/31/2019

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

07/15/2019