LORENE D KOPRIVICA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068639

License Status

NOT RENEWED

Business

First Name

LORENE D

Last Name

KOPRIVICA

Business Name

LORENE D KOPRIVICA

Original Issue Date

12/30/1977

Effective Date

12/30/1977

Expiration Date

01/01/1997

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005