JUDITH RICHARDA ROGOVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058066

License Status

NOT RENEWED

Business

First Name

JUDITH RICHARDA

Last Name

ROGOVIN

Business Name

JUDITH RICHARDA ROGOVIN

Original Issue Date

07/08/1972

Effective Date

07/08/1972

Expiration Date

01/01/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005