ANGELA LEA GROTT - Pharmacist License in Illinois | # 049136930

ANGELA LEA GROTT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136930

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005