MICHAEL D GRISAMORC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092240

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

GRISAMORC

Business Name

MICHAEL D GRISAMORC

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

03/31/1994

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005