DOUGLAS GROMANN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066679

License Status

CANCELLED

Business

First Name

DOUGLAS

Last Name

GROMANN

Business Name

DOUGLAS GROMANN

Original Issue Date

01/21/1977

Effective Date

01/21/1977

Expiration Date

01/01/1997

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005