Pharmacist
PHARMACY TECHNICIAN
049089875
NOT RENEWED
N
EUGENE S
COLEMAN III
EUGENE S COLEMAN III
05/05/1989
05/05/1989
03/31/1990
DOLTON
IL
60419
COOK
Y
10/17/2005
1989001007
Termination
01/03/1991
Submitted a non-bankable remittance to the Department.