LAURENCE M ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140748

License Status

NOT RENEWED

Business

First Name

LAURENCE

Middle

Last Name

ROTH

Business Name

LAURENCE M ROTH

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

03/31/2006

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006