GRANT A LUCKHART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244147

License Status

NOT RENEWED

Business

First Name

GRANT

Middle

Last Name

LUCKHART

Prefix

Business Name

GRANT A LUCKHART

Original Issue Date

08/21/2016

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018