SCOTT LEWIS TERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127181

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

LEWIS

Last Name

TERRY

Business Name

SCOTT LEWIS TERRY

Original Issue Date

08/26/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007