MAXXIMILIAN COOPER LAWRENCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259547

License Status

NOT RENEWED

Business

First Name

MAXXIMILIAN

Middle

COOPER

Last Name

LAWRENCE

Business Name

MAXXIMILIAN COOPER LAWRENCE

Original Issue Date

09/15/2018

Effective Date

04/08/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022