JUSTINA M GRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166000

License Status

NOT RENEWED

Business

First Name

JUSTINA

Middle

Last Name

GRAY

Business Name

JUSTINA M GRAY

Original Issue Date

01/09/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008