TANIKA R GRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155760

License Status

NOT RENEWED

Business

First Name

TANIKA

Middle

Last Name

GRANT

Business Name

TANIKA R GRANT

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2005

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005