ROSHELLE R MOUNTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200905

License Status

NOT RENEWED

Business

First Name

ROSHELLE

Middle

Last Name

MOUNTAIN

Prefix

Business Name

ROSHELLE R MOUNTAIN

Original Issue Date

10/06/2010

Effective Date

03/16/2011

Expiration Date

03/31/2012

City

CAMP POINT

State

Zip

62320

County

ADAMS

Ever Disciplined

LastModifiedDate

05/07/2012