TAL M ROZENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087791

License Status

NOT RENEWED

Business

First Name

TAL M

Last Name

ROZENE

Business Name

TAL M ROZENE

Original Issue Date

09/13/1988

Effective Date

09/13/1988

Expiration Date

03/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005