LAWRENCE A GROM - Pharmacist License in Illinois | # 049133299

LAWRENCE A GROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133299

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE

Middle

A

Last Name

GROM

Business Name

LAWRENCE A GROM

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005