Keith W Gronewold
ExpiredIllinois license 049066257
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049066257
- Status
- Expired (Not Renewed)
- First issued
- October 15, 1976
- Expired
- January 1, 1997
- License holder
- Keith W Gronewold
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/15/1976
Contact
Springfield, IL 62703
Sangamon County