JACK H KOOPMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026267

License Status

INACTIVE

Business

First Name

JACK H

Last Name

KOOPMAN

Business Name

JACK H KOOPMAN

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005