TRACY A TRAIL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101550

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

TRAIL

Business Name

TRACY A TRAIL

Original Issue Date

10/19/1992

Effective Date

10/19/1992

Expiration Date

03/31/2003

City

ORFORDVILLE

State

Zip

53576

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005