MARTHA HELEN ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059533

License Status

NOT RENEWED

Business

First Name

MARTHA HELEN

Last Name

ROTH

Business Name

MARTHA HELEN ROTH

Original Issue Date

05/18/1973

Effective Date

05/18/1973

Expiration Date

03/31/1984

City

KANE

State

Zip

62054

County

GREENE

Ever Disciplined

LastModifiedDate

10/17/2005