TRACY ANN PHILIPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157398

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ANN

Last Name

PHILIPS

Business Name

TRACY ANN PHILIPS

Original Issue Date

10/08/2004

Effective Date

10/08/2004

Expiration Date

03/31/2006

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006