TRACI M COUNTRYMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237183

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

COUNTRYMAN

Business Name

TRACI M COUNTRYMAN

Original Issue Date

10/23/2015

Effective Date

03/01/2017

Expiration Date

03/31/2018

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018