The holder whose full name is GROTT, JENNIFER LYNN,come from La Porte IN,hold the Pharmacy Intern license(NO.45010987A) which status is Expired.
| Name | GROTT, JENNIFER LYNN |
|---|---|
| License Number | 45010987A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | La Porte |
| State | IN |