DOUGLAS MARK ROBERTS Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029240

License Status

ACTIVE

Business

First Name

DOUGLAS MARK

Last Name

ROBERTS

Business Name

DOUGLAS MARK ROBERTS

Original Issue Date

08/05/1972

Effective Date

03/13/2024

Expiration Date

03/31/2026

City

CENTRALIA

State

Zip

62801

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/30/2026