ANDREW P ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212014

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

ROTH

Prefix

Business Name

ANDREW P ROTH

Original Issue Date

07/06/2012

Effective Date

07/06/2012

Expiration Date

03/31/2013

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2013