STEPHEN C ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139042

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

ROTH

Business Name

STEPHEN C ROTH

Original Issue Date

11/02/2001

Effective Date

11/02/2001

Expiration Date

03/31/2003

City

WHEELING

State

Zip

60040

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005