LAURA AMANDA GROSS - Pharmacist License in Illinois | # 049100710

LAURA AMANDA GROSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100710

License Status

NOT RENEWED

Business

N

First Name

LAURA AMANDA

Last Name

GROSS

Business Name

LAURA AMANDA GROSS

Original Issue Date

07/15/1992

Effective Date

07/15/1992

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005