TODD A WALROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155366

License Status

NOT RENEWED

Business

First Name

TODD A

Last Name

WALROTH

Business Name

TODD A WALROTH

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2005

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005