DONNA L GRIMM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061516

License Status

CANCELLED

Business

First Name

DONNA L

Last Name

GRIMM

Business Name

DONNA L GRIMM

Original Issue Date

05/24/1974

Effective Date

05/24/1974

Expiration Date

01/01/1997

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005