ANN R ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138386

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

ROTH

Business Name

ANN R ROTH

Original Issue Date

09/21/2001

Effective Date

09/21/2001

Expiration Date

03/31/2002

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005