MIRANDA FAYE COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069823

License Status

NOT RENEWED

Business

First Name

MIRANDA FAYE

Last Name

COOPER

Business Name

MIRANDA FAYE COOPER

Original Issue Date

07/28/1978

Effective Date

07/28/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005