CLAYTON W ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170023

License Status

NOT RENEWED

Business

First Name

CLAYTON

Middle

Last Name

ROTH

Business Name

CLAYTON W ROTH

Original Issue Date

07/14/2006

Effective Date

07/14/2006

Expiration Date

03/31/2007

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/14/2007