TRACY ANN ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144123

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ANN

Last Name

ANDERSON

Business Name

TRACY ANN ANDERSON

Original Issue Date

08/14/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007