LONI JO GROSZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157746

License Status

NOT RENEWED

Business

First Name

LONI

Middle

Last Name

GROSZ

Business Name

LONI JO GROSZ

Original Issue Date

11/05/2004

Effective Date

11/05/2004

Expiration Date

03/31/2005

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005