STEPHEN N ROTH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032948

License Status

INACTIVE

Business

First Name

STEPHEN N

Last Name

ROTH

Business Name

STEPHEN N ROTH

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/1992

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005