MARY ANN ROSE COPPOLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217935

License Status

NOT RENEWED

Business

First Name

MARY ANN

Middle

ROSE

Last Name

COPPOLA

Business Name

MARY ANN ROSE COPPOLA

Original Issue Date

05/16/2013

Effective Date

01/13/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016