SUSAN D KOOPMAN - Pharmacist License in Illinois | # 049154988

SUSAN D KOOPMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154988

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

D

Last Name

KOOPMAN

Business Name

SUSAN D KOOPMAN

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005