DAVID R GROTE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036971

License Status

INACTIVE

Business

First Name

DAVID R

Last Name

GROTE

Business Name

DAVID R GROTE

Original Issue Date

08/26/1988

Effective Date

08/26/1988

Expiration Date

03/31/1994

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005