DANA L ROACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073002

License Status

NOT RENEWED

Business

First Name

DANA L

Last Name

ROACH

Business Name

DANA L ROACH

Original Issue Date

05/23/1980

Effective Date

05/23/1980

Expiration Date

03/31/1984

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005