SCOTT T CEBULA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115763

License Status

NOT RENEWED

Business

First Name

SCOTT T

Last Name

CEBULA

Business Name

SCOTT T CEBULA

Original Issue Date

10/29/1996

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007