SAMANTHA LAUREN COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154461

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LAUREN

Last Name

COOPER

Business Name

SAMANTHA LAUREN COOPER

Original Issue Date

05/21/2004

Effective Date

04/03/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015