BROCK DAVID COOMER - Pharmacist License in Illinois | # 049199295

BROCK DAVID COOMER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199295

License Status

NOT RENEWED

Business

N

First Name

BROCK

Middle

DAVID

Last Name

COOMER

Business Name

BROCK DAVID COOMER

Original Issue Date

07/08/2010

Effective Date

02/07/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015