SCOTT G LAGE - Pharmacist License in Illinois | # 049191360

SCOTT G LAGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191360

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

G

Last Name

LAGE

Prefix

MR

Business Name

SCOTT G LAGE

Original Issue Date

04/28/2009

Effective Date

04/28/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010