TRACIE R BURRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242045

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

BURRIS

Prefix

Business Name

TRACIE R BURRIS

Original Issue Date

05/24/2016

Effective Date

03/05/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019