SCOTT T MATHSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143640

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

MATHSON

Business Name

SCOTT T MATHSON

Original Issue Date

07/15/2002

Effective Date

07/15/2002

Expiration Date

03/31/2003

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005