ROGER S AGUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109240

License Status

NOT RENEWED

Business

First Name

ROGER S

Last Name

AGUSTIN

Business Name

ROGER S AGUSTIN

Original Issue Date

01/10/1995

Effective Date

03/13/2013

Expiration Date

03/31/2014

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014