TRACY L MOUTRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158072

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

MOUTRAY

Business Name

TRACY L MOUTRAY

Original Issue Date

12/01/2004

Effective Date

12/01/2004

Expiration Date

03/31/2006

City

CROSSVILLE

State

Zip

62827

County

WHITE

Ever Disciplined

LastModifiedDate

05/11/2006