RENAE DANIELLE ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136721

License Status

NOT RENEWED

Business

First Name

RENAE

Middle

DANIELLE

Last Name

ROBERTS

Business Name

RENAE DANIELLE ROBERTS

Original Issue Date

06/15/2001

Effective Date

06/15/2001

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005