AGNES M ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095577

License Status

NOT RENEWED

Business

First Name

AGNES M

Last Name

ROTH

Business Name

AGNES M ROTH

Original Issue Date

01/18/1991

Effective Date

01/18/1991

Expiration Date

03/31/1996

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005