KRISTIN A MCCOLLOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141244

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

MCCOLLOM

Business Name

KRISTIN A MCCOLLOM

Original Issue Date

03/07/2002

Effective Date

03/07/2002

Expiration Date

03/31/2003

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005