TRACI K VANDERMOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177264

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

VANDERMOON

Business Name

TRACI K VANDERMOON

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

03/31/2008

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/02/2008