NINA C GROSS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064130

License Status

INACTIVE

Business

First Name

NINA C

Last Name

GROSS

Business Name

NINA C GROSS

Original Issue Date

09/05/1975

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

01/06/2009