TRACI A MILGRIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148791

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

MILGRIM

Business Name

TRACI A MILGRIM

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005