JOHNATHAN L SCALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133536

License Status

NOT RENEWED

Business

First Name

JOHNATHAN

Middle

Last Name

SCALA

Business Name

JOHNATHAN L SCALA

Original Issue Date

11/06/2000

Effective Date

11/06/2000

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005