MIRANDA S GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143845

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

GRAHAM

Business Name

MIRANDA S GRAHAM

Original Issue Date

07/29/2002

Effective Date

07/29/2002

Expiration Date

03/31/2004

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/20/2005