PHILIP EDWARD GRGURICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130406

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

EDWARD

Last Name

GRGURICH

Business Name

PHILIP EDWARD GRGURICH

Original Issue Date

04/05/2000

Effective Date

04/05/2000

Expiration Date

03/31/2006

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/11/2006