LAURA JEANNE GRAVANDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142782

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

JEANNE

Last Name

GRAVANDER

Business Name

LAURA JEANNE GRAVANDER

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005