TIMOTHY WAYNE GRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118587

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

WAYNE

Last Name

GRANT

Business Name

TIMOTHY WAYNE GRANT

Original Issue Date

08/19/1997

Effective Date

03/08/2019

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021