BLAINE E SCOGGINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178152

License Status

NOT RENEWED

Business

First Name

BLAINE

Middle

Last Name

SCOGGINS

Business Name

BLAINE E SCOGGINS

Original Issue Date

07/31/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

05/06/2009