SAMANTHA L COPPAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209978

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

COPPAGE

Prefix

Business Name

SAMANTHA L COPPAGE

Original Issue Date

03/28/2012

Effective Date

03/28/2012

Expiration Date

03/31/2013

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013