RONI SUE ROOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154111

License Status

NOT RENEWED

Business

First Name

RONI

Middle

SUE

Last Name

ROOS

Business Name

RONI SUE ROOS

Original Issue Date

04/19/2004

Effective Date

04/19/2004

Expiration Date

03/31/2005

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005