CARLA A ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059415

License Status

NOT RENEWED

Business

First Name

CARLA A

Last Name

ROTH

Business Name

CARLA A ROTH

Original Issue Date

04/24/1973

Effective Date

04/24/1973

Expiration Date

01/01/1997

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005