JACK H ROMINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136943

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

ROMINE

Business Name

JACK H ROMINE

Original Issue Date

07/02/2001

Effective Date

07/02/2001

Expiration Date

03/31/2005

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005