J NELSON COUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159587

License Status

NOT RENEWED

Business

First Name

Middle

NELSON

Last Name

COUCH

Business Name

J NELSON COUCH

Original Issue Date

03/17/2005

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

MAPLE PARK

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2014