SUSAN N GRUCZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139572

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GRUCZA

Business Name

SUSAN N GRUCZA

Original Issue Date

12/11/2001

Effective Date

12/11/2001

Expiration Date

03/31/2005

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005