DORIS JEAN ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143616

License Status

NOT RENEWED

Business

First Name

DORIS

Middle

JEAN

Last Name

ROTH

Business Name

DORIS JEAN ROTH

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

03/31/2006

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006