ANDREA J ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184400

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

ROTH

Prefix

Business Name

ANDREA J ROTH

Original Issue Date

05/20/2008

Effective Date

02/23/2009

Expiration Date

03/31/2010

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010