GRANT A ELLIOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178914

License Status

NOT RENEWED

Business

First Name

GRANT

Middle

Last Name

ELLIOTT

Business Name

GRANT A ELLIOTT

Original Issue Date

09/04/2007

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012