TIFFANY M ROACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136593

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

ROACH

Business Name

TIFFANY M ROACH

Original Issue Date

06/06/2001

Effective Date

06/06/2001

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005