MISTY D ROMBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210735

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

ROMBACH

Business Name

MISTY D ROMBACH

Original Issue Date

05/01/2012

Effective Date

03/11/2016

Expiration Date

03/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2017