DOMINIQUE N COOPWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200717

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

COOPWOOD

Prefix

Business Name

DOMINIQUE N COOPWOOD

Original Issue Date

09/24/2010

Effective Date

09/24/2010

Expiration Date

03/31/2011

City

PHOENIX

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011