VITINA M GRACEFFA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183417

License Status

INACTIVE

Business

First Name

VITINA

Middle

Last Name

GRACEFFA

Business Name

VITINA M GRACEFFA

Original Issue Date

04/08/2008

Effective Date

02/11/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2010