TIFFANEY NICOLE GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117523

License Status

NOT RENEWED

Business

First Name

TIFFANEY

Middle

NICOLE

Last Name

GRAHAM

Business Name

TIFFANEY NICOLE GRAHAM

Original Issue Date

05/09/1997

Effective Date

04/13/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013