HANNAH MARIE ROSE ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277868

License Status

NOT RENEWED

Business

First Name

HANNAH

Middle

MARIE ROSE

Last Name

ROTH

Business Name

HANNAH MARIE ROSE ROTH

Original Issue Date

12/09/2020

Effective Date

12/09/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021