KATHRYN ANN COFFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142756

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

ANN

Last Name

COFFMAN

Business Name

KATHRYN ANN COFFMAN

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2004

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005