LEONARDA B GROLLER - Pharmacist License in Illinois | # 049149721

LEONARDA B GROLLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149721

License Status

NOT RENEWED

Business

N

First Name

LEONARDA

Middle

B

Last Name

GROLLER

Business Name

LEONARDA B GROLLER

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005