Pharmacist
PHARMACY TECHNICIAN
049125454
NOT RENEWED
N
SCOTT
ANTHONY
LE CLAIRE
SCOTT ANTHONY LE CLAIRE
04/14/1999
02/21/2018
03/31/2019
GODFREY
IL
62035
MADISON
Y
11/05/2019
2018005766
Refuse To Renew
10/22/2019
due to alleged diversion of controlled substances.