TRICIA M SIX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196001

License Status

NOT RENEWED

Business

First Name

TRICIA

Middle

Last Name

SIX

Prefix

Business Name

TRICIA M SIX

Original Issue Date

12/26/2009

Effective Date

02/15/2011

Expiration Date

03/31/2012

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012