PATRICE AELIA COOPER - Pharmacist License in Illinois | # 049158607

PATRICE AELIA COOPER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158607

License Status

NOT RENEWED

Business

N

First Name

PATRICE

Middle

AELIA

Last Name

COOPER

Business Name

PATRICE AELIA COOPER

Original Issue Date

12/27/2004

Effective Date

12/27/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006