JAIME L GROETSEMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131245

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

Last Name

GROETSEMA

Business Name

JAIME L GROETSEMA

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

03/31/2005

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005