COLLEEN S GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101760

License Status

NOT RENEWED

Business

First Name

COLLEEN S

Last Name

GRAHAM

Business Name

COLLEEN S GRAHAM

Original Issue Date

11/19/1992

Effective Date

03/03/2010

Expiration Date

03/31/2011

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

05/12/2011