SCOTT RICHARD FORDYCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164520

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

RICHARD

Last Name

FORDYCE

Business Name

SCOTT RICHARD FORDYCE

Original Issue Date

08/24/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009