DOUGLAS MARK ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053297

License Status

NOT RENEWED

Business

First Name

DOUGLAS MARK

Last Name

ROBERTS

Business Name

DOUGLAS MARK ROBERTS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005