DENISE GRISSOM - Pharmacist License in Illinois | # 049072689

DENISE GRISSOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072689

License Status

NOT RENEWED

Business

N

First Name

DENISE

Last Name

GRISSOM

Business Name

DENISE GRISSOM

Original Issue Date

03/25/1980

Effective Date

03/25/1980

Expiration Date

03/31/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005