JENNY LYNN KOPTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194435

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

LYNN

Last Name

KOPTA

Business Name

JENNY LYNN KOPTA

Original Issue Date

09/23/2009

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

SENECA

State

Zip

61360

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/07/2012