PETER SCOTT BENGTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067546

License Status

NOT RENEWED

Business

First Name

PETER SCOTT

Last Name

BENGTSON

Business Name

PETER SCOTT BENGTSON

Original Issue Date

06/24/1977

Effective Date

06/24/1977

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005