JIA LEANN GRAGG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257857

License Status

NOT RENEWED

Business

First Name

JIA

Middle

LEANN

Last Name

GRAGG

Business Name

JIA LEANN GRAGG

Original Issue Date

05/15/2018

Effective Date

04/15/2019

Expiration Date

09/30/2020

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/08/2021