ETHEL DENISE GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163695

License Status

NOT RENEWED

Business

First Name

ETHEL

Middle

DENISE

Last Name

GRAHAM

Business Name

ETHEL DENISE GRAHAM

Original Issue Date

09/09/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2007