ALAN RA GRESHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192123

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

GRESHAM

Prefix

Business Name

ALAN RA GRESHAM

Original Issue Date

06/04/2009

Effective Date

01/21/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012