ROBERTA JAN SECREST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031148

License Status

INACTIVE

Business

First Name

ROBERTA JAN

Last Name

SECREST

Business Name

ROBERTA JAN SECREST

Original Issue Date

08/06/1976

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

AVON

State

Zip

46123

County

INDIANA

Ever Disciplined

LastModifiedDate

08/03/2022