RANDY SCOTT COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118868

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

SCOTT

Last Name

COOPER

Business Name

RANDY SCOTT COOPER

Original Issue Date

09/18/1997

Effective Date

09/18/1997

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005