MARK ANDERSON COOLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120461

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANDERSON

Last Name

COOLEY

Business Name

MARK ANDERSON COOLEY

Original Issue Date

04/02/1998

Effective Date

04/02/1998

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005