ROBERTA L PERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099254

License Status

NOT RENEWED

Business

First Name

ROBERTA L

Last Name

PERRY

Business Name

ROBERTA L PERRY

Original Issue Date

01/29/1992

Effective Date

01/29/1992

Expiration Date

03/31/1994

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005