JOHNATHAN ROBERT SCOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164368

License Status

NOT RENEWED

Business

First Name

JOHNATHAN

Middle

ROBERT

Last Name

SCOTT

Business Name

JOHNATHAN ROBERT SCOTT

Original Issue Date

10/04/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/14/2007