DIANE GRAVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067574

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

GRAVES

Business Name

DIANE GRAVES

Original Issue Date

06/24/1977

Effective Date

06/24/1977

Expiration Date

01/01/1997

City

ST LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005