GRANT A TOLLY - Pharmacist License in Illinois | # 049165096

GRANT A TOLLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165096

License Status

NOT RENEWED

Business

N

First Name

GRANT

Middle

A

Last Name

TOLLY

Business Name

GRANT A TOLLY

Original Issue Date

11/18/2005

Effective Date

11/18/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006