MARLA ROSE GRAVINO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262460

License Status

INACTIVE

Business

First Name

MARLA

Middle

ROSE

Last Name

GRAVINO

Business Name

MARLA ROSE GRAVINO

Original Issue Date

12/31/2018

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/10/2021