BRENTON T GRUND WICKRAMASEKERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220138

License Status

NOT RENEWED

Business

First Name

BRENTON

Middle

Last Name

GRUND WICKRAMASEKERA

Business Name

BRENTON T GRUND WICKRAMASEKERA

Original Issue Date

08/19/2013

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018