LIONEL A GRAVELINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029412

License Status

NOT RENEWED

Business

First Name

LIONEL A

Last Name

GRAVELINE

Business Name

LIONEL A GRAVELINE

Original Issue Date

12/08/1972

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010