SUSAN D KOOPMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154988

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KOOPMAN

Business Name

SUSAN D KOOPMAN

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2005

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005