PATRICE AELIA COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158607

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006