ENISSA C MCCOACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242272

License Status

NOT RENEWED

Business

First Name

ENISSA

Middle

Last Name

MCCOACH

Business Name

ENISSA C MCCOACH

Original Issue Date

06/06/2016

Effective Date

03/05/2018

Expiration Date

03/31/2019

City

RIVERDALE

State

Zip

60827

County

JACKSON

Ever Disciplined

LastModifiedDate

07/15/2019