MICHELLE R GRIMES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163885

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

GRIMES

Business Name

MICHELLE R GRIMES

Original Issue Date

09/14/2005

Effective Date

03/26/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013