ROBERTA JEAN KOHLBAUER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064937

License Status

NOT RENEWED

Business

First Name

ROBERTA JEAN

Last Name

KOHLBAUER

Business Name

ROBERTA JEAN KOHLBAUER

Original Issue Date

02/27/1976

Effective Date

02/27/1976

Expiration Date

03/31/1999

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005