KANDIS D GRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119301

License Status

NOT RENEWED

Business

First Name

KANDIS

Middle

Last Name

GRANT

Business Name

KANDIS D GRANT

Original Issue Date

11/06/1997

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2013