LARISSA ANNA GROSZKO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154282

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

ANNA

Last Name

GROSZKO

Business Name

LARISSA ANNA GROSZKO

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006