EDWIN BLAKE COLEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056327

License Status

NOT RENEWED

Business

First Name

EDWIN BLAKE

Last Name

COLEMAN

Business Name

EDWIN BLAKE COLEMAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005