DIVINE GRACE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190194

License Status

INACTIVE

Business

First Name

DIVINE

Last Name

GRACE

Business Name

DIVINE GRACE

Original Issue Date

03/10/2009

Effective Date

03/10/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010