JACOB THOMAS GRIVNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236693

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

THOMAS

Last Name

GRIVNA

Business Name

JACOB THOMAS GRIVNA

Original Issue Date

10/02/2015

Effective Date

03/03/2017

Expiration Date

03/31/2018

City

HARVARD

State

Zip

60033

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/19/2018