MARISSA A GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150142

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

Last Name

GRAHAM

Business Name

MARISSA A GRAHAM

Original Issue Date

08/21/2003

Effective Date

06/11/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011