TRACEY L CHATFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179310

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

CHATFIELD

Business Name

TRACEY L CHATFIELD

Original Issue Date

09/20/2007

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013