GARY J ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135987

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

ROTH

Business Name

GARY J ROTH

Original Issue Date

04/20/2001

Effective Date

04/20/2001

Expiration Date

03/31/2004

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005