KIMBERLY MARIE GRANHOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261625

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

MARIE

Last Name

GRANHOLM

Business Name

KIMBERLY MARIE GRANHOLM

Original Issue Date

11/30/2018

Effective Date

11/30/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019