ANGELA LEA GROTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136930

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

LEA

Last Name

GROTT

Business Name

ANGELA LEA GROTT

Original Issue Date

07/02/2001

Effective Date

07/02/2001

Expiration Date

03/31/2003

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/20/2005