LEVI COULTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270131

License Status

NOT RENEWED

Business

First Name

LEVI

Last Name

COULTER

Business Name

LEVI COULTER

Original Issue Date

01/02/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022