MEGAN MARIE KOOPMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156604

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MARIE

Last Name

KOOPMAN

Business Name

MEGAN MARIE KOOPMAN

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

03/31/2005

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005