TRACI A BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160932

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

BROWN

Business Name

TRACI A BROWN

Original Issue Date

05/10/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007