DANIEL K COCKRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148009

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

COCKRUM

Business Name

DANIEL K COCKRUM

Original Issue Date

04/16/2003

Effective Date

04/16/2003

Expiration Date

03/31/2004

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/20/2005