SERGIO COLLAZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071588

License Status

NOT RENEWED

Business

First Name

SERGIO

Last Name

COLLAZO

Business Name

SERGIO COLLAZO

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005