LAWRENCE A GROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133299

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

Last Name

GROM

Business Name

LAWRENCE A GROM

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

03/31/2003

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005