MIMI E COLLIFLOWER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057549

License Status

NOT RENEWED

Business

First Name

MIMI E

Last Name

COLLIFLOWER

Business Name

MIMI E COLLIFLOWER

Original Issue Date

04/01/1972

Effective Date

04/01/1972

Expiration Date

01/01/1997

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005