TRACY L FOUSEKAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266152

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

FOUSEKAS

Business Name

TRACY L FOUSEKAS

Original Issue Date

06/19/2019

Effective Date

06/19/2019

Expiration Date

09/30/2020

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

01/08/2021