SUSAN F GRISHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110895

License Status

NOT RENEWED

Business

First Name

SUSAN F

Last Name

GRISHAM

Business Name

SUSAN F GRISHAM

Original Issue Date

06/17/1995

Effective Date

10/08/2008

Expiration Date

03/31/2009

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009