DAWN MICHELLE GROLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140900

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

MICHELLE

Last Name

GROLL

Business Name

DAWN MICHELLE GROLL

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2005

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/20/2005