TRACY E VILVENS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290461

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

VILVENS

Business Name

TRACY E VILVENS

Original Issue Date

05/10/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GRANVILLE

State

Zip

43023

Ever Disciplined

LastModifiedDate

01/10/2008