GRAHAM E PROHASKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147508

License Status

NOT RENEWED

Business

First Name

GRAHAM

Middle

Last Name

PROHASKA

Business Name

GRAHAM E PROHASKA

Original Issue Date

03/18/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008