MATTIE F GRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132086

License Status

NOT RENEWED

Business

First Name

MATTIE

Middle

Last Name

GRANT

Business Name

MATTIE F GRANT

Original Issue Date

08/09/2000

Effective Date

08/09/2000

Expiration Date

03/31/2001

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005