GRANTLEY MCDONALD PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201045

License Status

NOT RENEWED

Business

First Name

GRANTLEY

Middle

MCDONALD

Last Name

PAYNE

Business Name

GRANTLEY MCDONALD PAYNE

Original Issue Date

10/14/2010

Effective Date

06/28/2016

Expiration Date

03/31/2017

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/06/2019