BREANNA L COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108015

License Status

NOT RENEWED

Business

First Name

BREANNA L

Last Name

COOPER

Business Name

BREANNA L COOPER

Original Issue Date

09/03/1994

Effective Date

11/15/2010

Expiration Date

03/31/2011

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011