LARRY ARTHUR GROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063216

License Status

NOT RENEWED

Business

First Name

LARRY ARTHUR

Last Name

GROM

Business Name

LARRY ARTHUR GROM

Original Issue Date

04/04/1975

Effective Date

04/04/1975

Expiration Date

01/01/1997

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005