SCOTT DOUGLAS ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053645

License Status

NOT RENEWED

Business

First Name

SCOTT DOUGLAS

Last Name

ANDERSON

Business Name

SCOTT DOUGLAS ANDERSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005