FRED B ROTH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024035

License Status

INACTIVE

Business

First Name

FRED B

Last Name

ROTH

Business Name

FRED B ROTH

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

SCOTTSDALE

State

Zip

85258

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005