CRYSTAL NICOLE COFFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279746

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

NICOLE

Last Name

COFFMAN

Business Name

CRYSTAL NICOLE COFFMAN

Original Issue Date

02/22/2021

Effective Date

02/22/2021

Expiration Date

05/31/2022

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

07/27/2022