CAROLYN LYMAN GROSENHEIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061079

License Status

NOT RENEWED

Business

First Name

CAROLYN LYMAN

Last Name

GROSENHEIDER

Business Name

CAROLYN LYMAN GROSENHEIDER

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005