ELLIOT GRANT BRTVA - Pharmacist License in Illinois | # 049128715

ELLIOT GRANT BRTVA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128715

License Status

NOT RENEWED

Business

N

First Name

ELLIOT

Middle

GRANT

Last Name

BRTVA

Business Name

ELLIOT GRANT BRTVA

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006