SCOTT A STAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147497

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

STAY

Business Name

SCOTT A STAY

Original Issue Date

03/18/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/02/2008