RUDOLPH SIAFA COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183310

License Status

NOT RENEWED

Business

First Name

RUDOLPH

Middle

SIAFA

Last Name

COOPER

Business Name

RUDOLPH SIAFA COOPER

Original Issue Date

04/02/2008

Effective Date

04/02/2008

Expiration Date

03/31/2009

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009