WALTRESIA J SCOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165156

License Status

NOT RENEWED

Business

First Name

WALTRESIA

Middle

Last Name

SCOTT

Business Name

WALTRESIA J SCOTT

Original Issue Date

11/22/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007