AMYAE A ROEBUCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151939

License Status

NOT RENEWED

Business

First Name

AMYAE

Middle

Last Name

ROEBUCK

Business Name

AMYAE A ROEBUCK

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005