KATELYN ROMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215220

License Status

INACTIVE

Business

First Name

KATELYN

Last Name

ROMAN

Business Name

KATELYN ROMAN

Original Issue Date

12/31/2012

Effective Date

02/08/2013

Expiration Date

03/31/2014

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

01/09/2014