HEATHER L GRONHOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287762

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

GRONHOLM

Business Name

HEATHER L GRONHOLM

Original Issue Date

08/11/2000

Effective Date

08/11/2000

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005