GLENN W ROMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204870

License Status

NOT RENEWED

Business

First Name

GLENN

Middle

Last Name

ROMA

Prefix

Business Name

GLENN W ROMA

Original Issue Date

06/20/2011

Effective Date

01/23/2015

Expiration Date

03/31/2016

City

MEMPHIS

State

Zip

38018

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016