GREGORY W SMALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278968

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

SMALL

Business Name

GREGORY W SMALL

Original Issue Date

01/25/2021

Effective Date

01/25/2021

Expiration Date

05/31/2022

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022