SANDRA MAE GRAVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121281

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

MAE

Last Name

GRAVEN

Business Name

SANDRA MAE GRAVEN

Original Issue Date

06/03/1998

Effective Date

06/03/1998

Expiration Date

03/31/1999

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/17/2005