JACK KYZER GRIMES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258463

License Status

NOT RENEWED

Business

First Name

JACK

Middle

KYZER

Last Name

GRIMES

Business Name

JACK KYZER GRIMES

Original Issue Date

06/11/2018

Effective Date

06/11/2018

Expiration Date

03/31/2019

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019