KYLE EDWARD GRODZKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140574

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

EDWARD

Last Name

GRODZKI

Business Name

KYLE EDWARD GRODZKI

Original Issue Date

02/06/2002

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012

Case Number

2011004628

Action

Revocation

Discipline Start Date

12/29/2011

Discipline Reason

after diverted controlled substances from his former pharmacy employer for personal use.