MICHELE YVONNE ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124570

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

YVONNE

Last Name

ROTH

Business Name

MICHELE YVONNE ROTH

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

03/31/2000

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/21/2005