TRACEY D BRANTLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173339

License Status

NOT RENEWED

Business

First Name

TRACEY D

Last Name

BRANTLEY

Business Name

TRACEY D BRANTLEY

Original Issue Date

12/26/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009