TIA GRANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259603

License Status

NOT RENEWED

Business

First Name

TIA

Last Name

GRANT

Business Name

TIA GRANT

Original Issue Date

09/18/2018

Effective Date

09/18/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019