SCOTT MOURNING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056516

License Status

NOT RENEWED

Business

First Name

SCOTT

Last Name

MOURNING

Business Name

SCOTT MOURNING

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005