ROBERTA J SECREST Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061383

License Status

CANCELLED

Business

First Name

ROBERTA J

Last Name

SECREST

Business Name

ROBERTA J SECREST

Original Issue Date

04/26/1974

Effective Date

04/26/1974

Expiration Date

01/01/1997

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

10/17/2005