TATIANA M COLLAZO - Pharmacist License in Illinois | # 049295164

TATIANA M COLLAZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295164

License Status

NOT RENEWED

Business

N

First Name

TATIANA

Middle

M

Last Name

COLLAZO

Business Name

TATIANA M COLLAZO

Original Issue Date

08/20/2022

Effective Date

08/20/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023