JEFFREY THOMAS ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185846

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

THOMAS

Last Name

ROTH

Business Name

JEFFREY THOMAS ROTH

Original Issue Date

07/28/2008

Effective Date

04/01/2010

Expiration Date

03/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011