SAMANTHA L COPPAGE - Pharmacist License in Illinois | # 049209978

SAMANTHA L COPPAGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209978

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

L

Last Name

COPPAGE

Prefix

MR

Business Name

SAMANTHA L COPPAGE

Original Issue Date

03/28/2012

Effective Date

03/28/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013