TRACY MICHELLE BARTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147239

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

MICHELLE

Last Name

BARTH

Business Name

TRACY MICHELLE BARTH

Original Issue Date

03/05/2003

Effective Date

03/05/2003

Expiration Date

03/31/2004

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005