KEVIN JASON GROCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134569

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

JASON

Last Name

GROCH

Business Name

KEVIN JASON GROCH

Original Issue Date

02/20/2001

Effective Date

02/20/2001

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005