DANE MICHAEL COOKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170378

License Status

NOT RENEWED

Business

First Name

DANE

Middle

MICHAEL

Last Name

COOKSON

Business Name

DANE MICHAEL COOKSON

Original Issue Date

08/03/2006

Effective Date

08/03/2006

Expiration Date

03/31/2007

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007