TRACY ANN DAUGHERTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245484

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ANN

Last Name

DAUGHERTY

Business Name

TRACY ANN DAUGHERTY

Original Issue Date

10/18/2016

Effective Date

10/18/2016

Expiration Date

03/31/2017

City

TOVEY

State

Zip

62570

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/10/2017