SCOTT PAUL BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133591

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

PAUL

Last Name

BURGESS

Business Name

SCOTT PAUL BURGESS

Original Issue Date

11/09/2000

Effective Date

11/09/2000

Expiration Date

03/31/2003

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2005

Case Number

2001006614

Action

Suspension

Discipline Start Date

11/09/2005

Discipline Reason

Violated his agreement of care, counseling and treatment after tested positive for alcohol.