STEPHEN J GROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039240

License Status

NOT RENEWED

Business

First Name

STEPHEN J

Last Name

GROTH

Business Name

STEPHEN J GROTH

Original Issue Date

04/21/1993

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

VIROQUA

State

Zip

54665

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021