TRACIE Y LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172610

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

LOPEZ

Business Name

TRACIE Y LOPEZ

Original Issue Date

11/16/2006

Effective Date

03/09/2018

Expiration Date

03/31/2019

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/15/2019