MATTHEW SCOTT PRUITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160045

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

SCOTT

Last Name

PRUITT

Business Name

MATTHEW SCOTT PRUITT

Original Issue Date

04/11/2005

Effective Date

04/02/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

85383

Ever Disciplined

LastModifiedDate

05/12/2011