TRACI K VANDERMOON - Pharmacist License in Illinois | # 049177264

TRACI K VANDERMOON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177264

License Status

NOT RENEWED

Business

N

First Name

TRACI

Middle

K

Last Name

VANDERMOON

Business Name

TRACI K VANDERMOON

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008