CHARELENE N COOKSEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165102

License Status

NOT RENEWED

Business

First Name

CHARELENE

Middle

Last Name

COOKSEY

Business Name

CHARELENE N COOKSEY

Original Issue Date

11/18/2005

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010