TRACEY L GRAVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298034

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

GRAVES

Business Name

TRACEY L GRAVES

Original Issue Date

11/28/2022

Effective Date

11/28/2022

Expiration Date

03/31/2023

City

DEWEY

State

Zip

61840

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/07/2023