AUDREY MARIE GRUNLOH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180998

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

MARIE

Last Name

GRUNLOH

Business Name

AUDREY MARIE GRUNLOH

Original Issue Date

12/06/2007

Effective Date

01/28/2013

Expiration Date

03/31/2014

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

05/06/2014