SCOTT CHARLES WIRTANEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149619

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

CHARLES

Last Name

WIRTANEN

Business Name

SCOTT CHARLES WIRTANEN

Original Issue Date

07/28/2003

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

05/12/2011