NATHAN R GRONDZKI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209011

License Status

INACTIVE

Business

First Name

NATHAN

Middle

Last Name

GRONDZKI

Business Name

NATHAN R GRONDZKI

Original Issue Date

02/01/2012

Effective Date

02/01/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2013