MACKENZIE L ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244003

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

Last Name

ROTH

Prefix

Business Name

MACKENZIE L ROTH

Original Issue Date

08/15/2016

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

WEST TERRE HAUTE

State

Zip

47885

County

INDIANA

Ever Disciplined

LastModifiedDate

07/15/2019