SUSANNE M GROSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096851

License Status

NOT RENEWED

Business

First Name

SUSANNE

Middle

Last Name

GROSSMAN

Business Name

SUSANNE M GROSSMAN

Original Issue Date

05/09/1991

Effective Date

05/09/1991

Expiration Date

03/31/1994

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005