TRACY A BARDELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143333

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BARDELL

Business Name

TRACY A BARDELL

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005