KIMBERLY M GRAGG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131997

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GRAGG

Business Name

KIMBERLY M GRAGG

Original Issue Date

08/03/2000

Effective Date

08/03/2000

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005