MADISON NICOLE SCROGUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049313396

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

NICOLE

Last Name

SCROGUM

Business Name

MADISON NICOLE SCROGUM

Original Issue Date

06/27/2024

Effective Date

06/27/2024

Expiration Date

03/31/2025

City

LIVERPOOL

State

Zip

61543

County

FULTON

Ever Disciplined

LastModifiedDate

07/08/2025