ETHAN MITCHELL ROZENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260650

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

MITCHELL

Last Name

ROZENE

Business Name

ETHAN MITCHELL ROZENE

Original Issue Date

10/11/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/20/2021