SHANE DAVID SCOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292615

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

DAVID

Last Name

SCOTT

Business Name

SHANE DAVID SCOTT

Original Issue Date

07/16/2008

Effective Date

07/16/2008

Expiration Date

03/31/2010

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010