LISA ANN GROSINIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153475

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

GROSINIC

Business Name

LISA ANN GROSINIC

Original Issue Date

03/05/2004

Effective Date

03/05/2004

Expiration Date

03/31/2005

City

PLYMOUTH

State

Zip

62367

County

HANCOCK

Ever Disciplined

LastModifiedDate

10/20/2005