JENNIFER LYNN COLLETTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108938

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

COLLETTA

Business Name

JENNIFER LYNN COLLETTA

Original Issue Date

11/30/1994

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PONTE VEDRA

State

Zip

32081

Ever Disciplined

LastModifiedDate

05/06/2009