GRACE TATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124093

License Status

NOT RENEWED

Business

First Name

GRACE

Last Name

TATE

Business Name

GRACE TATE

Original Issue Date

12/09/1998

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008