MICHELE L COPPERNOLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118371

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

Last Name

COPPERNOLL

Business Name

MICHELE L COPPERNOLL

Original Issue Date

08/04/1997

Effective Date

08/04/1997

Expiration Date

03/31/1998

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005