SCOTT PATRICK SUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127328

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

PATRICK

Last Name

SUS

Business Name

SCOTT PATRICK SUS

Original Issue Date

09/07/1999

Effective Date

09/07/1999

Expiration Date

03/31/2004

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005