RAVEN MAHOGANY COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049316222

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

MAHOGANY

Last Name

COOPER

Business Name

RAVEN MAHOGANY COOPER

Original Issue Date

10/30/2024

Effective Date

10/30/2024

Expiration Date

03/31/2025

City

PEORIA

State

Zip

61614

County

ADAMS

Ever Disciplined

LastModifiedDate

07/08/2025