MICHAEL SCOTT MADDOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126771

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SCOTT

Last Name

MADDOX

Business Name

MICHAEL SCOTT MADDOX

Original Issue Date

07/26/1999

Effective Date

07/26/1999

Expiration Date

03/31/2000

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005