DAVID LAWRENCE GROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027763

License Status

NOT RENEWED

Business

First Name

DAVID LAWRENCE

Last Name

GROSS

Business Name

DAVID LAWRENCE GROSS

Original Issue Date

01/01/1997

Effective Date

02/14/2012

Expiration Date

03/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2014

Case Number

1990002761

Action

Suspension

Discipline Start Date

10/14/1990

Discipline End Date

02/10/1991