JEFFREY R COOK MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135864

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

Last Name

COOK

Business Name

JEFFREY R COOK MD

Original Issue Date

04/13/2001

Effective Date

04/13/2001

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006