ROXANNE JEAN SUMMERVILLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122777

License Status

NOT RENEWED

Business

First Name

ROXANNE

Middle

JEAN

Last Name

SUMMERVILLE

Business Name

ROXANNE JEAN SUMMERVILLE

Original Issue Date

09/04/1998

Effective Date

09/04/1998

Expiration Date

03/31/2000

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005