DERAYVIA J GRIMES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182454

License Status

NOT RENEWED

Business

First Name

DERAYVIA

Middle

Last Name

GRIMES

Business Name

DERAYVIA J GRIMES

Original Issue Date

02/28/2008

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

EAST ST LOUIS

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/12/2011