SCOTT R BORNTREGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078109

License Status

NOT RENEWED

Business

First Name

SCOTT R

Last Name

BORNTREGER

Business Name

SCOTT R BORNTREGER

Original Issue Date

04/06/1983

Effective Date

04/06/1983

Expiration Date

03/31/1988

City

ST ELMO

State

Zip

62458

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005