DAVID GORDON COOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153156

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

GORDON

Last Name

COOK

Business Name

DAVID GORDON COOK

Original Issue Date

02/04/2004

Effective Date

02/04/2004

Expiration Date

03/31/2006

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2006