JUSTIN TYLER SCOGIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199648

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

TYLER

Last Name

SCOGIN

Business Name

JUSTIN TYLER SCOGIN

Original Issue Date

07/29/2010

Effective Date

01/27/2011

Expiration Date

03/31/2012

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/07/2012