PHILIP MICHAEL GRYBALOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181627

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

MICHAEL

Last Name

GRYBALOW

Business Name

PHILIP MICHAEL GRYBALOW

Original Issue Date

01/17/2008

Effective Date

01/06/2009

Expiration Date

03/31/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010