GRIGORY FREDRICK GUZASKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246980

License Status

NOT RENEWED

Business

First Name

GRIGORY

Middle

FREDRICK

Last Name

GUZASKY

Business Name

GRIGORY FREDRICK GUZASKY

Original Issue Date

12/09/2016

Effective Date

12/09/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017