KELLY JANE ROTTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142089

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JANE

Last Name

ROTTMAN

Business Name

KELLY JANE ROTTMAN

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2004

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005