JANA BETH KOLLBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060209

License Status

NOT RENEWED

Business

First Name

JANA BETH

Last Name

KOLLBERG

Business Name

JANA BETH KOLLBERG

Original Issue Date

09/07/1973

Effective Date

09/07/1973

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005