PEANNA V GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173051

License Status

NOT RENEWED

Business

First Name

PEANNA

Middle

Last Name

GRAHAM

Business Name

PEANNA V GRAHAM

Original Issue Date

12/11/2006

Effective Date

12/11/2006

Expiration Date

03/31/2007

City

CALUMET CITY

State

Zip

60409

Ever Disciplined

LastModifiedDate

05/14/2007