SUSAN RENEE GRIMESTAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152042

License Status

NOT RENEWED

Business

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

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009