DIANA N GRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068685

License Status

NOT RENEWED

Business

First Name

DIANA N

Last Name

GRAY

Business Name

DIANA N GRAY

Original Issue Date

01/13/1978

Effective Date

01/13/1978

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005