ALYSSA BROOKE KOFFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231691

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

BROOKE

Last Name

KOFFMAN

Business Name

ALYSSA BROOKE KOFFMAN

Original Issue Date

03/13/2015

Effective Date

02/18/2016

Expiration Date

03/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/10/2017