JACLYN RUTH ROEDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151148

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

RUTH

Last Name

ROEDA

Business Name

JACLYN RUTH ROEDA

Original Issue Date

09/30/2003

Effective Date

09/30/2003

Expiration Date

03/31/2004

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005