MALEA J GROW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102380

License Status

NOT RENEWED

Business

First Name

MALEA J

Last Name

GROW

Business Name

MALEA J GROW

Original Issue Date

02/05/1993

Effective Date

02/05/1993

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005