ERIC M ROOF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093111

License Status

NOT RENEWED

Business

First Name

ERIC M

Last Name

ROOF

Business Name

ERIC M ROOF

Original Issue Date

05/12/1990

Effective Date

05/12/1990

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005