ROBERTA LOU EWING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125251

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

LOU

Last Name

EWING

Business Name

ROBERTA LOU EWING

Original Issue Date

04/02/1999

Effective Date

04/02/1999

Expiration Date

03/31/2000

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

10/21/2005