SCOTT T FORREST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150051

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

FORREST

Business Name

SCOTT T FORREST

Original Issue Date

08/20/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WENONA

State

Zip

61377

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/02/2008