JACK B GRUWELL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030004

License Status

INACTIVE

Business

First Name

JACK B

Last Name

GRUWELL

Business Name

JACK B GRUWELL

Original Issue Date

08/02/1974

Effective Date

02/02/2016

Expiration Date

03/31/2018

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/12/2018