GRADY JACK GRAHAM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051305245

License Status

ACTIVE

Business

First Name

GRADY

Middle

JACK

Last Name

GRAHAM

Business Name

GRADY JACK GRAHAM

Original Issue Date

11/17/2022

Effective Date

01/21/2024

Expiration Date

03/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/30/2026