LARRY ROBERT SCANTLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056707

License Status

NOT RENEWED

Business

First Name

LARRY ROBERT

Last Name

SCANTLIN

Business Name

LARRY ROBERT SCANTLIN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005