CAROL KAY ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149113

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

KAY

Last Name

ROBERTS

Business Name

CAROL KAY ROBERTS

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

03/31/2004

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005