ANTOINE DESHAWN GRAVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196126

License Status

NOT RENEWED

Business

First Name

ANTOINE

Middle

DESHAWN

Last Name

GRAVES

Business Name

ANTOINE DESHAWN GRAVES

Original Issue Date

01/06/2010

Effective Date

01/06/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011