JENNIFER LYNN ELLEN ROARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161534

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN ELLEN

Last Name

ROARK

Business Name

JENNIFER LYNN ELLEN ROARK

Original Issue Date

06/07/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

INDEPENDENCE

State

Zip

64050

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/06/2009