MAXIMUS DAVID ALLEN COOLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267089

License Status

NOT RENEWED

Business

First Name

MAXIMUS

Middle

DAVID ALLEN

Last Name

COOLEY

Business Name

MAXIMUS DAVID ALLEN COOLEY

Original Issue Date

08/02/2019

Effective Date

08/02/2019

Expiration Date

09/30/2020

City

BUFFALO

State

Zip

62515

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021