STEPHEN ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288057

License Status

NOT RENEWED

Business

First Name

STEPHEN

Last Name

ROTH

Business Name

STEPHEN ROTH

Original Issue Date

11/16/2021

Effective Date

11/16/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022