TRACI ELAINE WASHINGTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158616

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

ELAINE

Last Name

WASHINGTON

Business Name

TRACI ELAINE WASHINGTON

Original Issue Date

12/27/2004

Effective Date

12/27/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006