SCOTT D MOSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164755

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

MOSSMAN

Business Name

SCOTT D MOSSMAN

Original Issue Date

11/02/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007