ELLEN KAY GRUBEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073755

License Status

NOT RENEWED

Business

First Name

ELLEN KAY

Last Name

GRUBEN

Business Name

ELLEN KAY GRUBEN

Original Issue Date

10/17/1980

Effective Date

10/17/1980

Expiration Date

03/31/1982

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005