DENISE H GRUNDSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096153

License Status

NOT RENEWED

Business

First Name

DENISE H

Last Name

GRUNDSTROM

Business Name

DENISE H GRUNDSTROM

Original Issue Date

03/16/1991

Effective Date

03/16/1991

Expiration Date

03/31/1994

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005