RAVEN OLIVIA GRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155667

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

OLIVIA

Last Name

GRAY

Business Name

RAVEN OLIVIA GRAY

Original Issue Date

06/24/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009