GRACIE LOUELLA WIDGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279394

License Status

NOT RENEWED

Business

First Name

GRACIE

Middle

LOUELLA

Last Name

WIDGER

Business Name

GRACIE LOUELLA WIDGER

Original Issue Date

02/10/2021

Effective Date

02/10/2021

Expiration Date

05/31/2022

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

07/27/2022