JIMMIE RAY GRAVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057325

License Status

NOT RENEWED

Business

First Name

JIMMIE RAY

Last Name

GRAVES

Business Name

JIMMIE RAY GRAVES

Original Issue Date

02/02/1972

Effective Date

02/02/1972

Expiration Date

01/01/1997

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005