KELLY E GROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120042

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

GROSS

Business Name

KELLY E GROSS

Original Issue Date

02/09/1998

Effective Date

02/09/1998

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005