SCOTT MICHAEL COPPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104241

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

MICHAEL

Last Name

COPPLE

Business Name

SCOTT MICHAEL COPPLE

Original Issue Date

08/12/1993

Effective Date

08/12/1993

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005