MARY JANE ROTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063531

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

ROTH

Business Name

MARY JANE ROTH

Original Issue Date

05/23/1975

Effective Date

05/23/1975

Expiration Date

03/31/1987

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005