BRENDA LEE ROMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236790

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

LEE

Last Name

ROMAN

Business Name

BRENDA LEE ROMAN

Original Issue Date

10/05/2015

Effective Date

10/05/2015

Expiration Date

03/31/2016

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/20/2016