MARY JO GROTHUSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068300

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

GROTHUSEN

Business Name

MARY JO GROTHUSEN

Original Issue Date

10/21/1977

Effective Date

10/21/1977

Expiration Date

03/31/1982

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005