KIM D COLETTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082698

License Status

NOT RENEWED

Business

First Name

KIM D

Last Name

COLETTA

Business Name

KIM D COLETTA

Original Issue Date

05/22/1986

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008