TIMOTHY JA GROSSENHEIDER - Pharmacist License in Illinois | # 049196342

TIMOTHY JA GROSSENHEIDER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196342

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

JA

Last Name

GROSSENHEIDER

Prefix

MR

Business Name

TIMOTHY JA GROSSENHEIDER

Original Issue Date

01/20/2010

Effective Date

01/20/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011