TERRA L GRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107812

License Status

NOT RENEWED

Business

First Name

TERRA L

Last Name

GRAY

Business Name

TERRA L GRAY

Original Issue Date

08/12/1994

Effective Date

08/12/1994

Expiration Date

03/31/1999

City

SIMPSON

State

Zip

62985

County

JOHNSON

Ever Disciplined

LastModifiedDate

10/17/2005