ELLEN ANN GRAHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126419

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

ANN

Last Name

GRAHN

Business Name

ELLEN ANN GRAHN

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

03/31/2003

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/20/2005