SCOTT D CHRISTOFFERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154564

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

CHRISTOFFERSON

Business Name

SCOTT D CHRISTOFFERSON

Original Issue Date

05/24/2004

Effective Date

05/24/2004

Expiration Date

03/31/2005

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005