BRENT A GROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225715

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

GROSS

Business Name

BRENT A GROSS

Original Issue Date

06/09/2014

Effective Date

06/09/2014

Expiration Date

03/31/2015

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/11/2015