CARRIE MELISSA ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104354

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

MELISSA

Last Name

ROTH

Business Name

CARRIE MELISSA ROTH

Original Issue Date

08/25/1993

Effective Date

08/25/1993

Expiration Date

03/31/1996

City

TIPTON

State

Zip

52772

Ever Disciplined

LastModifiedDate

10/17/2005