MICHELLE R HARGRAVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129479

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

HARGRAVE

Business Name

MICHELLE R HARGRAVE

Original Issue Date

02/23/2000

Effective Date

02/23/2000

Expiration Date

03/31/2001

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005