TRACY MAXINE WARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265145

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

MAXINE

Last Name

WARD

Business Name

TRACY MAXINE WARD

Original Issue Date

05/06/2019

Effective Date

05/06/2019

Expiration Date

09/30/2020

City

MANITO

State

Zip

61546

County

MASON

Ever Disciplined

LastModifiedDate

01/08/2021