DEAN R GRIEPENTROG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030003

License Status

INACTIVE

Business

First Name

DEAN

Middle

Last Name

GRIEPENTROG

Business Name

DEAN R GRIEPENTROG

Original Issue Date

08/02/1974

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

MEADOW GROVE

State

Zip

68752

County

MADISON

Ever Disciplined

LastModifiedDate

01/18/2006