DACIA L ROMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157455

License Status

NOT RENEWED

Business

First Name

DACIA

Middle

Last Name

ROMAN

Business Name

DACIA L ROMAN

Original Issue Date

10/14/2004

Effective Date

10/14/2004

Expiration Date

03/31/2005

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/20/2005