GRACE ASHLEY HERZOG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258112

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

ASHLEY

Last Name

HERZOG

Business Name

GRACE ASHLEY HERZOG

Original Issue Date

05/22/2018

Effective Date

03/11/2019

Expiration Date

09/30/2020

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021