DELLA MARIE ROAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128051

License Status

NOT RENEWED

Business

First Name

DELLA

Middle

MARIE

Last Name

ROAM

Business Name

DELLA MARIE ROAM

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

03/31/2000

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005