SUSAN M GRANVILLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109134

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

GRANVILLE

Business Name

SUSAN M GRANVILLE

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

03/31/2004

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/20/2005