GRACIE LYNN JASPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262869

License Status

NOT RENEWED

Business

First Name

GRACIE

Middle

LYNN

Last Name

JASPER

Business Name

GRACIE LYNN JASPER

Original Issue Date

01/28/2019

Effective Date

01/10/2020

Expiration Date

03/31/2021

City

AVISTON

State

Zip

62216

County

CLINTON

Ever Disciplined

LastModifiedDate

07/20/2021