JEFFREY DANIEL GROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184793

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

DANIEL

Last Name

GROM

Business Name

JEFFREY DANIEL GROM

Original Issue Date

06/09/2008

Effective Date

02/03/2012

Expiration Date

03/31/2013

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2013