JONATHAN DANIAL ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248804

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

DANIAL

Last Name

ROTH

Business Name

JONATHAN DANIAL ROTH

Original Issue Date

03/02/2017

Effective Date

04/10/2018

Expiration Date

03/31/2019

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019