BROOKE RENEE GROTTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212096

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

RENEE

Last Name

GROTTS

Business Name

BROOKE RENEE GROTTS

Original Issue Date

07/12/2012

Effective Date

03/27/2013

Expiration Date

03/31/2014

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/06/2014