KATHLEEN A GROTEMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152767

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

GROTEMEYER

Business Name

KATHLEEN A GROTEMEYER

Original Issue Date

01/02/2004

Effective Date

01/02/2004

Expiration Date

03/31/2005

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005