LEONARDA B GROLLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149721

License Status

NOT RENEWED

Business

First Name

LEONARDA

Middle

Last Name

GROLLER

Business Name

LEONARDA B GROLLER

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

03/31/2005

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005