DENISE GRISSOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072689

License Status

NOT RENEWED

Business

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

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005