SAM T COATS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257063

License Status

NOT RENEWED

Business

First Name

SAM

Middle

Last Name

COATS

Business Name

SAM T COATS

Original Issue Date

03/28/2018

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021