STEPHEN ALLAN GRANGER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154865

License Status

INACTIVE

Business

First Name

STEPHEN ALLAN

Last Name

GRANGER

Business Name

STEPHEN ALLAN GRANGER

Original Issue Date

06/10/2004

Effective Date

03/28/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2013