AUSTIN NICOLE COPPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173091

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

NICOLE

Last Name

COPPLE

Business Name

AUSTIN NICOLE COPPLE

Original Issue Date

12/11/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008