MARK BRANDON COLLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145048

License Status

NOT RENEWED

Business

First Name

MARK

Middle

BRANDON

Last Name

COLLUM

Business Name

MARK BRANDON COLLUM

Original Issue Date

10/02/2002

Effective Date

10/02/2002

Expiration Date

03/31/2004

City

ESTERO

State

Zip

33928

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/20/2005