DANIELLE SUE COPAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126577

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

SUE

Last Name

COPAK

Business Name

DANIELLE SUE COPAK

Original Issue Date

07/01/1999

Effective Date

04/09/2007

Expiration Date

03/31/2008

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008