JENNIFER MARIE ROETHEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164820

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

ROETHEL

Business Name

JENNIFER MARIE ROETHEL

Original Issue Date

11/07/2005

Effective Date

02/18/2014

Expiration Date

03/31/2015

City

SHEBOYGAN FALLS

State

Zip

53085

Ever Disciplined

LastModifiedDate

05/11/2015