BRENDON JEREMIAH GROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142425

License Status

NOT RENEWED

Business

First Name

BRENDON

Middle

JEREMIAH

Last Name

GROSS

Business Name

BRENDON JEREMIAH GROSS

Original Issue Date

05/14/2002

Effective Date

05/14/2002

Expiration Date

03/31/2004

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005