LARISSA L GRIMWADE - Pharmacist License in Illinois | # 049112709

LARISSA L GRIMWADE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112709

License Status

NOT RENEWED

Business

N

First Name

LARISSA L

Last Name

GRIMWADE

Business Name

LARISSA L GRIMWADE

Original Issue Date

12/11/1995

Effective Date

12/11/1995

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005