KIM K ROTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072411

License Status

NOT RENEWED

Business

First Name

KIM K

Last Name

ROTZ

Business Name

KIM K ROTZ

Original Issue Date

01/14/1980

Effective Date

01/14/1980

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005