MARK ROBERT GRAVOT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174838

License Status

INACTIVE

Business

First Name

MARK

Middle

ROBERT

Last Name

GRAVOT

Business Name

MARK ROBERT GRAVOT

Original Issue Date

03/14/2007

Effective Date

02/10/2010

Expiration Date

03/31/2011

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

01/05/2011