JERROD EDWARD COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256172

License Status

NOT RENEWED

Business

First Name

JERROD

Middle

EDWARD

Last Name

COOPER

Business Name

JERROD EDWARD COOPER

Original Issue Date

02/14/2018

Effective Date

02/14/2018

Expiration Date

03/31/2019

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

07/15/2019