TIMOTHY WAYNE GRANT - Pharmacist License in Illinois | # 049118587

TIMOTHY WAYNE GRANT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118587

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021