GRACE M RAFACZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099398

License Status

NOT RENEWED

Business

First Name

GRACE M

Last Name

RAFACZ

Business Name

GRACE M RAFACZ

Original Issue Date

02/18/1992

Effective Date

02/18/1992

Expiration Date

03/31/1996

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005