RYAN WILLIAM GROTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179983

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

WILLIAM

Last Name

GROTZ

Business Name

RYAN WILLIAM GROTZ

Original Issue Date

10/17/2007

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010