TRACY ANDRE MOOREHEAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153348

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ANDRE

Last Name

MOOREHEAD

Business Name

TRACY ANDRE MOOREHEAD

Original Issue Date

02/27/2004

Effective Date

02/27/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2005000777

Action

Refuse To Renew

Discipline Start Date

03/10/2005

Discipline Reason

More than 30 days delinquent in the payment of child support.