DAVID COLLINS ERWIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290246

License Status

INACTIVE

Business

First Name

DAVID

Middle

COLLINS

Last Name

ERWIN

Business Name

DAVID COLLINS ERWIN

Original Issue Date

11/08/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

SCOTTSDALE

State

Zip

85255

County

KANE

Ever Disciplined

LastModifiedDate

01/10/2008