ROMA A KLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139502

License Status

NOT RENEWED

Business

First Name

ROMA

Middle

Last Name

KLINE

Business Name

ROMA A KLINE

Original Issue Date

12/06/2001

Effective Date

12/06/2001

Expiration Date

03/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005