BRIAN EDWARD GROSS - Pharmacist License in Illinois | # 049149283

BRIAN EDWARD GROSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149283

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006