DIANE M ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211319

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

ROTH

Prefix

Business Name

DIANE M ROTH

Original Issue Date

05/26/2012

Effective Date

02/05/2024

Expiration Date

03/31/2025

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/08/2025