LELL COOKSEY ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049046219

License Status

NOT RENEWED

Business

First Name

LELL COOKSEY

Last Name

ROTH

Business Name

LELL COOKSEY ROTH

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005