TIMOTHY JA GROSSENHEIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196342

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

GROSSENHEIDER

Prefix

Business Name

TIMOTHY JA GROSSENHEIDER

Original Issue Date

01/20/2010

Effective Date

01/20/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011