LORI A COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152511

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

COOPER

Business Name

LORI A COOPER

Original Issue Date

12/16/2003

Effective Date

12/16/2003

Expiration Date

03/31/2005

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/20/2005