SCOTT W TACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115946

License Status

NOT RENEWED

Business

First Name

SCOTT W

Last Name

TACK

Business Name

SCOTT W TACK

Original Issue Date

11/14/1996

Effective Date

11/14/1996

Expiration Date

03/31/1997

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005