KAREN L SCROGUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086404

License Status

NOT RENEWED

Business

First Name

KAREN L

Last Name

SCROGUM

Business Name

KAREN L SCROGUM

Original Issue Date

04/19/1988

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016