CATHY LYNN MCCOLLOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061893

License Status

NOT RENEWED

Business

First Name

CATHY LYNN

Last Name

MCCOLLOM

Business Name

CATHY LYNN MCCOLLOM

Original Issue Date

07/12/1974

Effective Date

07/12/1974

Expiration Date

01/01/1997

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005