BRIAN W COULTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199166

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

COULTER

Business Name

BRIAN W COULTER

Original Issue Date

07/01/2010

Effective Date

03/17/2017

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018