ROBERT M SELF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297704

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

SELF

Business Name

ROBERT M SELF

Original Issue Date

08/04/2014

Effective Date

02/14/2018

Expiration Date

09/30/2020

City

OAKLAND

State

Zip

38060

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/14/2021