MALVERN M ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019506

License Status

NOT RENEWED

Business

First Name

MALVERN M

Last Name

ROTH

Business Name

MALVERN M ROTH

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

PHOENIX

State

Zip

85015

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005