MIRANDA L GROFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153834

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

GROFF

Business Name

MIRANDA L GROFF

Original Issue Date

03/22/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007