JESSICA ANN GRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148006

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

ANN

Last Name

GRAY

Business Name

JESSICA ANN GRAY

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005