GRADY JACK GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260199

License Status

NOT RENEWED

Business

First Name

GRADY

Middle

JACK

Last Name

GRAHAM

Business Name

GRADY JACK GRAHAM

Original Issue Date

09/26/2018

Effective Date

03/30/2022

Expiration Date

03/31/2023

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/07/2023