ELLEN GAYLE GRAVES-GRIZZLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081547

License Status

NOT RENEWED

Business

First Name

ELLEN GAYLE

Last Name

GRAVES-GRIZZLE

Business Name

ELLEN GAYLE GRAVES-GRIZZLE

Original Issue Date

09/03/1985

Effective Date

09/03/1985

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006