ALISA ANN GROESCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072290

License Status

NOT RENEWED

Business

First Name

ALISA ANN

Last Name

GROESCH

Business Name

ALISA ANN GROESCH

Original Issue Date

12/26/1979

Effective Date

12/26/1979

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005