SUSAN RENEE GRIMESTAD - Pharmacist License in Illinois | # 049152042

SUSAN RENEE GRIMESTAD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152042

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

RENEE

Last Name

GRIMESTAD

Business Name

SUSAN RENEE GRIMESTAD

Original Issue Date

11/04/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009