ANDREA PORTIA GRAVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097985

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

PORTIA

Last Name

GRAVES

Business Name

ANDREA PORTIA GRAVES

Original Issue Date

09/11/1991

Effective Date

09/11/1991

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005