BRIAN EDWARD GROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149283

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

EDWARD

Last Name

GROSS

Business Name

BRIAN EDWARD GROSS

Original Issue Date

06/26/2003

Effective Date

06/26/2003

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006